ODS
ODS Community Dental is a private Oregon-based dental benefits administrator that provides Medicaid dental coverage exclusively to Oregon Health Plan members through contracts with the Oregon Health Authority and all major state Coordinated Care Organizations.
- Company typePrivate
- Founded1955
- HeadquartersPortland, United States
- Headcount—
- GTM typeB2C
- OfferingServices
What ODS does
ODS Community Dental, doing business as Oregon Dental Service, is a private dental benefits administrator exclusively serving Oregon's Medicaid population through the Oregon Health Plan. The company contracts with the Oregon Health Authority and all major Coordinated Care Organizations (CCOs) across the state — AllCare, Columbia Pacific, EOCCO, Health Share of Oregon, IHN, Jackson Care Connect, PacificSource Community Solutions, and Trillium — to provide dental coverage to OHP members. Members are largely assigned to ODS through CCO enrollment or, in the case of OHP Open Card members, coordinated directly by OHA.
The product surface centers on dental benefits administration supported by a HIPAA-compliant platform with CMS Interoperability APIs (documented through an Edifecs-hosted developer portal) enabling third-party health-data access. Member- and provider-facing portals anchor the user experience, supplemented by the Dental Benefit Tracker eligibility/claims tool, the Health through Oral Wellness risk-based clinical program, a Provider Search directory, and a 25+ language accessibility infrastructure. Specialty services are delivered in partnership with Oregon Health & Science University (OHSU), and Arrow Dental Clinic locations serve northwest Oregon.
Revenue is generated via capitation payments from the Oregon Health Authority and CCO partners, with no commercial, employer, or individual market exposure. ODS Community Dental is headquartered in Portland at 601 S.W. Second Ave., operates as a subsidiary brand of Oregon Dental Service, and shows operational ties to Moda Health through shared contact channels. No venture capital, private equity, or public-ownership structure is disclosed.
ODS firmographics
Firmographics- Name
- ODS
- Legal name
- Oregon Dental Service
- Website
- https://odscommunitydental.com
- Company type
- Private
- Founded year
- 1955
- Operating status
- Operating
- Short description
- ODS Community Dental is a private Oregon-based dental benefits administrator that provides Medicaid dental coverage exclusively to Oregon Health Plan members through contracts with the Oregon Health Authority and all major state Coordinated Care Organizations.
- Ownership category
- akta.pro rank
ODS industry classification
Industry- Product category
- Medicaid Dental Insurance
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Medicaid/CHIP Dental Managed Care Plans (HLAEAIAI)
- akta.pro secondary industry
- Dental Insurance (FSAIAHAA)
Keywords
Where ODS is headquartered
LocationHeadquarters
- HQ city
- Portland
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
ODS business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Technology or R&D, Supply Chain, Marketing or Sales
Revenue model
- Medicaid Capitation: ODS Community Dental receives capitation payments from the Oregon Health Authority and Coordinated Care Organizations (CCOs) to provide dental coverage to Medicaid members. The plan covers preventive care, basic restorative services, and major dental procedures for enrolled members.
Go-to-market motion1 record
Distribution channels1 record
Marketing channels3 records
ODS product offering
Product offeringCore offering
ODS Community Dental administers Medicaid dental benefit plans for Oregon Health Plan members, covering preventive care (cleanings, X-rays, fluoride, sealants), restorative services (fillings, extractions, root canals), dentures, and specialty services delivered through its contracted provider network. The company contracts with the Oregon Health Authority and all major Coordinated Care Organizations (CCOs) in the state, operates member and provider web portals, and runs a Health through Oral Wellness program that provides extra benefits to members at elevated risk of oral disease.
Product overview
ODS Community Dental operates as a Medicaid dental plan administrator (dba Oregon Dental Service) providing a unified platform of member and provider-facing services for Oregon's Medicaid community. The core offering consists of dental benefits administration, with member and provider web portals as the primary interfaces. The Dental Benefit Tracker tool enables providers to verify eligibility and benefits in real-time, while the Health through Oral Wellness program provides enhanced oral health assessment and education for high-risk members. The Provider Search Tool connects members with in-network dentists.
Differentiator
Problem solved
Functional benefit
Products and services
- Member Portal Online member-facing portal that allows Oregon Medicaid (OHP) members to access their dental benefits, find in-network providers, view plan resources, and manage their dental coverage information.
- Provider Portal Web portal for contracted dental providers to verify patient eligibility, submit referrals, manage claims, and access provider resources and handbooks for the Medicaid dental plan.
- Dental Benefits Coverage (Medicaid Dental Plan) Medicaid dental benefit plan for Oregon Health Plan members covering preventive care (cleanings, X-rays, fluoride, sealants), restorative services (fillings, extractions, root canals), dentures, and specialty services accessed through the contracted provider network.
- Health through Oral Wellness Program Clinical assessment program offering extra dental benefits and oral-health education to OHP members identified as having greater risk for oral diseases. Provides differentiated preventive support beyond standard plan coverage.
Companies that use ODS
Customer profileNamed customers9 records
Segments1 record
Ideal customer profiles2 records
ODS technology and API
TechnologyTechnology focussed No
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
ODS partnerships and signals
Strategic signalPartnerships
Eleven partnerships are on record, tiered core.
- AllCare CCOcoreAllCare Health is a Coordinated Care Organization in Oregon that administers Medicaid benefits including dental coverage through ODS Community Dental for its enrolled members in the southern Oregon region.
- Columbia Pacific CCOcoreColumbia Pacific CCO provides Medicaid health benefits including dental coverage through ODS Community Dental for members in the Columbia Pacific region of Oregon.
- Eastern Oregon CCO (EOCCO)coreEastern Oregon Coordinated Care Organization partners with ODS Community Dental to provide dental benefits to Medicaid members in eastern Oregon.
- Health Share of OregoncoreHealth Share of Oregon is the largest CCO in the state and partners with ODS Community Dental to provide dental coverage to its Medicaid enrolled members in the Portland metro area.
- Intercommunity Health Network (IHN)coreIHN CCO provides Medicaid benefits including dental coverage through ODS Community Dental for members in the Willamette Valley region.
- Jackson Care ConnectcoreJackson Care Connect CCO administers Medicaid dental benefits through ODS Community Dental for members in the Jackson County area of southern Oregon.
- PacificSource Community SolutionscorePacificSource Community Solutions partners with ODS Community Dental across multiple regions including Central Oregon, Columbia Gorge, and Marion Polk to provide dental benefits to Medicaid members.
- Trillium Community Health PlancoreTrillium Community Health Plan provides Medicaid benefits including dental coverage through ODS Community Dental for members in Oregon.
- Arrow Dental CliniccoreArrow Dental Clinic provides dental services to ODS Community Dental members in northwest Oregon. OHP members in this region can visit any Arrow Dental Clinic location for covered services.
- OHSU (Oregon Health & Science University)coreOHSU offers specialty dental services for ODS Community Dental members including endodontics, periodontics, orthodontics, oral surgery, and pediatric dentistry. ODS provides referral processes and information for submitting referrals to OHSU specialty clinics.
- Oregon Health Authority (OHA)coreOHA is the state agency that oversees the Oregon Health Plan and contracts with ODS Community Dental to provide dental benefits. For OHP Open Card members (those not assigned to a CCO), OHA directly coordinates dental coverage through ODS.
Scale indicators1 record
Recent moves6 records
Expansion highlights5 records
ODS competitors and assessment
Company assessmentOthers
- Moda Health: Oregon-headquartered health-plan operator sharing operational infrastructure (email domains, contact systems) with ODS Community Dental. Adjacent rather than competitive — likely an affiliated or parent entity that could serve as a strategic platform partner.
Direct peers
- LIBERTY Dental Plan: National Medicaid and CHIP dental managed-care plan administrator serving multiple state Medicaid programs. Comparable to ODS in core Medicaid dental capitation model, CCO-equivalent partnerships, and member/provider portal infrastructure.
- DentaQuest: The largest U.S. Medicaid dental plan administrator (now part of Sun Life), operating managed-care dental plans across multiple states. Most directly comparable to ODS in product (Medicaid dental capitation), customer (state Medicaid agencies and CCOs), and business model.
- MCNA Dental: Leading Medicaid and CHIP dental plan administrator serving several state Medicaid programs with a focus on government-sponsored dental benefits. Closely mirrors ODS's Medicaid-only positioning and capitation revenue model.
- Avesis: Government-program dental and vision benefits administrator (now part of The Guardian Life Insurance Company) focused on Medicaid, CHIP, and ACA plans. Directly comparable to ODS in government-program-only dental capitation.
- Delta Dental of Oregon: Regional dental benefits provider serving Oregon, with both commercial and government-program lines. Direct geographic competitor to ODS in the Oregon dental-insurance market and the most natural in-state peer.
Broad incumbents
- Cigna Dental: National dental benefits provider within Cigna Group, including government-program and employer-sponsored plans. Broader portfolio but overlapping dental-insurance administration capabilities relevant for comparative benchmarking.
- Humana Dental: Large dental benefits carrier with significant Medicare Advantage and government-program dental exposure. Comparable in government dental administration, though Humana operates across many states and segments versus ODS's single-state Medicaid focus.
- UnitedHealthcare Dental: Dental benefits arm of UnitedHealth Group offering Medicaid, Medicare Advantage, and commercial dental plans nationally. Broader incumbent with overlapping Medicaid dental capabilities but far wider product portfolio than ODS.
- Aetna Dental (CVS Health): National dental benefits carrier under CVS Health offering Medicaid, Medicare, and commercial dental plans. Comparable in scale and product breadth, but operates as a broad incumbent rather than a Medicaid-specialized plan.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
ODS financial estimates
Financial estimateRevenue estimate
Valuation estimate
ODS leadership team
Management profileNumber of profiles
ODS funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
ODS M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about ODS
What does ODS do?
ODS Community Dental administers Medicaid dental benefit plans for Oregon Health Plan members, covering preventive care (cleanings, X-rays, fluoride, sealants), restorative services (fillings, extractions, root canals), dentures, and specialty services delivered through its contracted provider network. The company contracts with the Oregon Health Authority and all major Coordinated Care Organizations (CCOs) in the state, operates member and provider web portals, and runs a Health through Oral Wellness program that provides extra benefits to members at elevated risk of oral disease.
Is ODS a public or private company?
ODS is a private company. It is classified as unknown and is currently operating.
When was ODS founded?
ODS was founded in 1955.
Where is ODS based?
ODS is headquartered in Portland, United States, in the North America region.
How does ODS make money?
One revenue line is on record: medicaid Capitation.
Who are ODS's main competitors?
Moda Health is listed as an others. Direct peers are LIBERTY Dental Plan, DentaQuest, MCNA Dental, Avesis and Delta Dental of Oregon. Broad incumbents are Cigna Dental, Humana Dental, UnitedHealthcare Dental and Aetna Dental (CVS Health).
Does ODS have an API?
Yes. Developer-friendly, standards-based APIs that enable 3rd party applications for vendors to connect their application or programs to access ODS Community Dental data. This includes CMS Interoperability APIs that provide member health records electronically to third party applications upon a member's request. Developer documentation is at fdp.edifecsfedcloud.com/#/portal/moda.health.
What industry is ODS in?
ODS's product category is Medicaid Dental Insurance. Its primary akta.pro industry code is HLAEAIAI, Medicaid/CHIP Dental Managed Care Plans, with a secondary code of FSAIAHAA, Dental Insurance. Its SIC code is 8000.