Amend 0003 Att A Pricing Sheet.xls
XLS spreadsheet 39 KB Posted
- Attached to
- AFRH Dental Services
- Solicitation number
- 20342326Q00004
About this file
This is a Pricing Sheet for a dental services Request for Quote (RFQ 20342326Q00004) issued by the Department of the Treasury Bureau of the Fiscal Service on behalf of the Armed Forces Retirement Home (AFRH) in Washington, D.C. The pricing sheet details a comprehensive list of dental procedures with estimated quantities for a base period from 01/01/2026 through 09/30/2026, covering diagnostic, preventive, restorative, denture, oral surgery, endodontic, prosthodontic, and miscellaneous dental services. The solicitation is set aside for small businesses and requires offerors to have an unexpired SAM.gov registration and Unique Entity Identifier (UEI).
The RFQ specifies electronic quotation submission to purchasing@fiscal.treasury.gov and brittany.coffman@fiscal.treasury.gov by 10:00am ET on October 31, 2025, with the government intending to award a firm fixed price contract for a 9-month base period. The pricing sheet includes unit prices for over 80 different dental procedures, ranging from oral examinations and x-rays to complex treatments like root canals, crowns, dentures, and surgical extractions. Each procedure has an estimated quantity, though the unit prices are currently blank, indicating that bidders will need to complete this section with their proposed pricing.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Amend 0004 Att A Pricing Sheet.xls | XLS spreadsheet | |
| Amend 0003 RFQ 20342326Q00004.pdf | ||
| RFQ 20342326Q00004 QAComplete.xlsx | XLSX spreadsheet | |
| Attachment B- Historical Procedures.pdf | ||
| RFQ 20342326Q00004.pdf | ||
| Attachment A Pricing Sheet.xls | XLS spreadsheet |
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Text version
Base Period
| Pricing Sheet | ||||
| RFQ 20342326Q00004 AFRH Dental Services | ||||
| Base Period: POP: 01/01/2026 through 09/30/2026 | ||||
| Type- Item/Procedure | Description- Item/Procedure | Unit Price | Estimated Qty Base Period | Extended Total |
| DIAGNOSTIC | Oral Exam (Periodic/Comp./Limited) | $ - 0 | 150 | $ - 0 |
| Intraoral comprehensive series | $ - 0 | 15 | $ - 0 | |
| Intraoral periapical x-ray (1) | $ - 0 | 90 | $ - 0 | |
| Intraoral periapical (additional) | $ - 0 | 40 | $ - 0 | |
| Bitewing-1 film | $ - 0 | 15 | $ - 0 | |
| Bitewing-2 films | $ - 0 | 25 | $ - 0 | |
| Bitewing-3 films | $ - 0 | 12 | $ - 0 | |
| Bitewing-4 films | $ - 0 | 30 | $ - 0 | |
| PREVENTIVE | Adult Prophylaxis | $ - 0 | 130 | $ - 0 |
| Fluoride Treatment (Adult) | $ - 0 | 129 | $ - 0 | |
| Scaling/Full Mouth Debridement | $ - 0 | 40 | $ - 0 | |
| Scaling & Root Planning (Per Quad) | $ - 0 | 35 | $ - 0 | |
| RESTORATIVE | Composite-1 surface | $ - 0 | 25 | $ - 0 |
| Composite-2 surface | $ - 0 | 20 | $ - 0 | |
| Composite-3 surface | $ - 0 | 20 | $ - 0 | |
| Composite-4 surface | $ - 0 | 15 | $ - 0 | |
| Composite-1 surface (P) | $ - 0 | 8 | $ - 0 | |
| Composite-2 surface (P) | $ - 0 | 8 | $ - 0 | |
| Composite-3 surface (P) | $ - 0 | 12 | $ - 0 | |
| Composite-4 surface (P) | $ - 0 | 12 | $ - 0 | |
| Amalgam-1 surface | $ - 0 | 16 | $ - 0 | |
| Amalgam-2 surface | $ - 0 | 24 | $ - 0 | |
| Amalgam-3 surface | $ - 0 | 20 | $ - 0 | |
| Amalgam-4 surface | $ - 0 | 8 | $ - 0 | |
| Pin | $ - 0 | 12 | $ - 0 | |
| Core Buildup | $ - 0 | 12 | $ - 0 | |
| Post & Core | $ - 0 | 20 | $ - 0 | |
| PFM/Porcelain Crown | $ - 0 | 25 | $ - 0 | |
| Insert PFM/Porcelain Crown | $ - 0 | 30 | $ - 0 | |
| Gold Crown | $ - 0 | 12 | $ - 0 | |
| Insert Gold Crown | $ - 0 | 16 | $ - 0 | |
| Sedative Filling | $ - 0 | 20 | $ - 0 | |
| DENTURES | Complete Upper Denture | $ - 0 | 20 | $ - 0 |
| Preliminary Impression | $ - 0 | 16 | $ - 0 | |
| Final Impression | $ - 0 | 12 | $ - 0 | |
| Bite Block | $ - 0 | 16 | $ - 0 | |
| Wax Tryin | $ - 0 | 20 | $ - 0 | |
| Deliver Denture | $ - 0 | 20 | $ - 0 | |
| Complete Lower Denture | $ - 0 | $ - 0 | ||
| Preliminary Impression | $ - 0 | 12 | $ - 0 | |
| Final Impression | $ - 0 | 9 | $ - 0 | |
| Bite Block | $ - 0 | 12 | $ - 0 | |
| Wax Tryin | $ - 0 | 12 | $ - 0 | |
| Deliver Denture | $ - 0 | 12 | $ - 0 | |
| Immediate Upper Denture | $ - 0 | $ - 0 | ||
| Preliminary Impression | $ - 0 | 12 | $ - 0 | |
| Final Impression | $ - 0 | 9 | $ - 0 | |
| Bite Block | $ - 0 | 12 | $ - 0 | |
| Wax Tryin | $ - 0 | 12 | $ - 0 | |
| Deliver Denture | $ - 0 | 12 | $ - 0 | |
| Immediate Lower Denture | $ - 0 | 12 | $ - 0 | |
| Preliminary Impression | $ - 0 | 12 | $ - 0 | |
| Final Impression | $ - 0 | 9 | $ - 0 | |
| Bite Block | $ - 0 | 12 | $ - 0 | |
| Wax Tryin | $ - 0 | 12 | $ - 0 | |
| Deliver Denture | $ - 0 | 12 | $ - 0 | |
| PARTIALS | Upper Partial | $ - 0 | 12 | $ - 0 |
| Preliminary Impression | $ - 0 | 12 | $ - 0 | |
| Final Impression | $ - 0 | 9 | $ - 0 | |
| Bite Block | $ - 0 | 12 | $ - 0 | |
| Wax Tryin | $ - 0 | 12 | $ - 0 | |
| Deliver Partial | $ - 0 | 12 | $ - 0 | |
| Lower Partial | $ - 0 | $ - 0 | ||
| Preliminary Impression | $ - 0 | 8 | $ - 0 | |
| Final Impression | $ - 0 | 8 | $ - 0 | |
| Bite Block | $ - 0 | 8 | $ - 0 | |
| Wax Tryin | $ - 0 | 8 | $ - 0 | |
| Deliver Partial | $ - 0 | 8 | $ - 0 | |
| Repair/Add Clasp | $ - 0 | 8 | $ - 0 | |
| Interim Partial/Flipper-Max. | $ - 0 | 8 | $ - 0 | |
| Interim Partial/Flipper-Mand. | $ - 0 | 8 | $ - 0 | |
| Reline Upper Denture | $ - 0 | 8 | $ - 0 | |
| Reline Lower Denture | $ - 0 | 8 | $ - 0 | |
| Reline Upper Partial | $ - 0 | 8 | $ - 0 | |
| Reline Lower Partial | $ - 0 | 8 | $ - 0 | |
| Add Tooth to Partial | $ - 0 | 9 | $ - 0 | |
| Add Tooth to Denture | $ - 0 | 9 | $ - 0 | |
| Denture/Partial Repair | $ - 0 | 9 | $ - 0 | |
| ORAL SURGERY | Extraction/Single Tooth | $ - 0 | 9 | $ - 0 |
| Extraction Add'l Tooth | $ - 0 | 9 | $ - 0 | |
| Root Removal | $ - 0 | 9 | $ - 0 | |
| Surgical Extraction | $ - 0 | 9 | $ - 0 | |
| Surgical Root Removal | $ - 0 | 6 | $ - 0 | |
| ENDODONTICS | Root Canal Anterior | $ - 0 | 6 | $ - 0 |
| Root Canal Bicuspid | $ - 0 | 6 | $ - 0 | |
| Root Canal Molar | $ - 0 | 6 | $ - 0 | |
| RCT Re-Treat (Anterior) | $ - 0 | 6 | $ - 0 | |
| RCT Re-Treat (Bicuspid) | $ - 0 | 6 | $ - 0 | |
| RCT Re-Treat (Molar) | $ - 0 | 6 | $ - 0 | |
| FIXED | Bridge Abutment | $ - 0 | 6 | $ - 0 |
| PROSTHODONTICS | Bridge Pontic | $ - 0 | 6 | $ - 0 |
| Deliver Bridge Per Unit | $ - 0 | 6 | $ - 0 | |
| Recement Bridge | $ - 0 | 6 | $ - 0 | |
| Recement Crown | $ - 0 | 8 | $ - 0 | |
| MISCELLANEOUS | Consultation | $ - 0 | 12 | $ - 0 |
| Palliative | $ - 0 | 12 | $ - 0 | |
| OTHER | Nightguard | $ - 0 | 6 | $ - 0 |
| Broken Appointment Fee | $ - 0 | 12 | $ - 0 | |
| Panoramic | $ - 0 | 10 | $ - 0 | |
| Local Admin. Antibiotic Per Site | $ - 0 | 6 | $ - 0 | |
| Base Period Total: | $0.00 |
&LAttachment A
RFQ 20342326Q00004
File details come from the government source that posted it. Updated .