Payer Overview
OREGON DENTAL SERV GRP Market Analysis: Market Share and Coverage by State
Oregon Dental Serv Grp is a regional payer with concentrated strength in the Pacific Northwest. Its footprint supports targeted contracting strategies rather than national network scale.
Payer Overview
Oregon Dental Serv Grp ranks as the #80 payer in the US A&H market and reports $1.54B in US premium, representing a 0.11% US market share across 4 states. The organization operates through 4 affiliated subsidiaries and serves an estimated 195.5K members nationally, anchoring its strongest presence in Oregon and Alaska.
The company's premium is concentrated in a small set of Western states, with most membership and premium coming from Oregon and Alaska. That regional concentration supports focused provider contracting strategies in the Pacific Northwest while limiting scale in other regions.
4 rows
| Subsidiary | Domicile |
|---|---|
| Delta Dental Plan of Oregon | OR |
| Eastern Oregon Coordinated Care Org LLC | OR |
| Moda Health Plan Inc | OR |
| Summit Health Plan Inc | OR |
National Market Presence
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| AK | 5.52% | $100M | 27.6K |
| ID | 0.27% | $17.6M | 3.78K |
| OR | 5.51% | $1.40B | 161K |
| TX | 0.01% | $18.8M | 2.58K |
| National Total | — | $1.54B | 195.5K |
Oregon Dental Serv Grp shows a concentrated national footprint with the vast majority of premium and members located in the Pacific Northwest. With $1.40B of premium in Oregon and 100.4M in Alaska, the payer's commercial leverage is strongest in those states, enabling more focused provider contracting terms there. Outside these core states, presence is limited to tens of thousands of dollars in premium and a few thousand members, which reduces negotiating leverage and suggests regional, not national, network strategies are most appropriate.
For provider networks, this concentration means contracting teams should prioritize resource allocation to Oregon and Alaska where membership scale and premium materially affect network utilization. In smaller states where the payer has only a few thousand members, providers may opt for passive participation or simpler contract terms rather than intensive network integration.
State-by-State Market Position
Oregon Dental Serv Grp's strongest presence is in the West, particularly Oregon and Alaska, reflecting a focused regional strategy rather than broad national penetration. The West and Pacific Northwest are clearly the core operating region given the $1.40B premium in OR and $100M in AK, while Idaho and Texas represent minor footholds.
For multi-state provider groups, the geographic distribution suggests negotiating scale exists primarily within the West; efforts to build national networks with this payer will have limited return outside its core states. Provider groups should evaluate regional contracting strategies in the Pacific Northwest and treat other state relationships as opportunistic or low-priority. Strategic partnerships and local market intelligence will be most impactful in OR and AK where membership and premium are concentrated.
Estimated Member Demographics
| Age Band | Oregon | Alaska | Idaho | Texas | National Total |
|---|---|---|---|---|---|
| Under 6 | 8,698 | 2,008 | 239 | 167 | 11,113 |
| 6–18 | 23,404 | 4,775 | 696 | 435 | 29,310 |
| 19–25 | 14,250 | 2,266 | 374 | 248 | 17,137 |
| 26–34 | 20,774 | 3,607 | 447 | 349 | 25,177 |
| 35–44 | 25,003 | 4,224 | 538 | 404 | 30,170 |
| 45–54 | 22,566 | 3,584 | 485 | 370 | 27,005 |
| 55–64 | 21,377 | 3,752 | 491 | 333 | 25,954 |
| 65–74 | 14,552 | 2,480 | 300 | 163 | 17,495 |
| 75+ | 10,604 | 1,228 | 212 | 107 | 12,151 |
Nationally, the largest age bands are 6–18 (29,310 members), 35–44 (30,170 members), and 26–34 (25,177 members), indicating a strong focus on children, adolescents, and working-age adults. The under-6 and 19–25 bands are also substantial, reflecting a family-oriented membership base. The senior population (65+) is smaller in comparison, with 17,495 in the 65–74 band and 12,151 in the 75+ band.
Oregon, as the dominant state, closely mirrors the national profile, with the largest segments in the 35–44, 6–18, and 26–34 age bands. Alaska shows a similar distribution but with a slightly higher proportion of children and young adults. Idaho and Texas, while much smaller in total members, also follow this pattern, with the majority of members under age 45. No state shows a significant skew toward older age bands, reinforcing the payer's focus on younger and family populations.
Estimated Members by State
OREGON DENTAL SERV GRP's estimated national membership is 195,511, with a pronounced concentration in Oregon (161,228 members), which accounts for over 80% of the payer's total membership. Alaska is the next largest state with 27,925 members, followed by Idaho (3,781 members) and Texas (2,576 members). The remaining states and aggregate categories have negligible or unreported member counts.
This geographic distribution aligns closely with the payer's premium volume and market share, as Oregon and Alaska are also the states where OREGON DENTAL SERV GRP holds its highest market shares and premium volumes. The dominance in Oregon, despite not being the #1 ranked payer, highlights the company's deep penetration in its home state. For providers, this means that contracting and care delivery strategies should be highly tailored to the Oregon and Alaska markets, where the vast majority of members reside. Multi-state providers will find limited exposure to this payer outside these two states.
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