Copy of NATIONAL CONTRACT SLA Fee Quote Sheet Version 2023.xlsx
XLSX spreadsheet 33 KB Posted
- Solicitation number
- 36C10G23Q0005
About this file
This document contains a Request for Quotations (RFQ) for the VA SAC National Dental Laboratory Products and Services Follow-On. The RFQ seeks multiple indefinite delivery indefinite quantity contracts to provide dental laboratory products and services in accordance with the Statement of Work. Prospective offerors may submit questions until May 5th, 2023 and quotations are due by May 22nd, 2023. The base period of performance is one year with four optional one-year extensions. The Department of Veterans Affairs is the contracting agency.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C10G23Q0005 0001.docx | DOCX document | |
| RFQ Questions - Dental Laboratory Follow-On Solicitation Number 36C10G23Q0005.pdf | ||
| Attachment 2 - Quarterly Reporting Tool.xlsx | XLSX spreadsheet | |
| 36C10G23Q0005 - Solicitation SAC Dental Labs.pdf | ||
| Attachment 1 - Quote Sheet.xlsx | XLSX spreadsheet | |
| Attachment 3 - Pay.gov Vendor Submittal Instructions.docx | DOCX document |
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Text version
Base Year
| CLIN | P/N Description | Unit of Measure (UOM) | Unit Cost| Price | **3% SLA FEE | Total Price (SLA FEE INCLUDED) |
| CROWN AND BRIDGE METAL and METAL CERAMIC | |||||
| 0001 | PFM Crown (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 0002 | PFM Crowns (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 0003 | PFM FPD (Bridge units - Retainer and pontics) (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 0004 | PFM FPD (Bridge units - Retainer and pontics) (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 0005 | Porcelain Application Only | Each | $0.00 | $0.00 | $0.00 |
| 0006 | Full Metal Crowns (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 0007 | Full Metal Crowns (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 0008 | Full Metal FPD (bridge units) (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 0009 | Full Metal FPD (bridge units) (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 0010 | Resin-bonded bridges (Maryland Bridge) (Ceramic) | Each | $0.00 | $0.00 | $0.00 |
| 0011 | Resin-bonded bridges (Maryland Bridge) (MetalCeramic) | Each | $0.00 | $0.00 | $0.00 |
| CROWN AND BRIDGE METAL FREE | |||||
| 0012 | Porcelain Laminate Veneer | Each | $0.00 | $0.00 | $0.00 |
| 0013 | All-Ceramic inlay-Onlay-3/4 Crown | Each | $0.00 | $0.00 | $0.00 |
| 0014 | Pressed Lithium Disilicate/Silicate Crown/Full Contour | Each | $0.00 | $0.00 | $0.00 |
| 0015 | Pressed Lithium Disilicate/Silicate Crown/Layered | Each | $0.00 | $0.00 | $0.00 |
| 0016 | Milled Lithium Disilicate/Silicate Crown/Full Contour | Each | $0.00 | $0.00 | $0.00 |
| 0017 | Milled Lithium Disilicate/Silicate Crown/Layered | Each | $0.00 | $0.00 | $0.00 |
| 0018 | Porcelain-to-Zirconia Layered Crown | Each | $0.00 | $0.00 | $0.00 |
| 0019 | Monolithic Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 0020 | Metal-free 3-unit bridge w/Zirconia Understructure | Each | $0.00 | $0.00 | $0.00 |
| CROWN AND BRIDGE OTHER | |||||
| 0021 | Processed Acrylic Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 0022 | Milled Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 0023 | 3D-Printed Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 0024 | 3D-Printed Model from Intraoral Scan (Per Arch) | Each | $0.00 | $0.00 | $0.00 |
| 0025 | Diagnostic Waxup (Per tooth) | Each | $0.00 | $0.00 | $0.00 |
| 0026 | Cast Post and Core | Each | $0.00 | $0.00 | $0.00 |
| 0027 | Special Ceramics Addition (Pink Porcelain) | Each | $0.00 | $0.00 | $0.00 |
| IMPLANTS PROSTHETICS (Single Unit) | |||||
| 0028 | Cement-retained PFM Crown (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 0029 | Cement-retained Metal Crown (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 0030 | Cement-retained Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 0031 | Cement-retained Lithium Disilicate/Silicate Crown | Each | $0.00 | $0.00 | $0.00 |
| 0032 | Screw-retained PFM Crown (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 0033 | Screw-retained Metal Crown (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 0034 | Screw-retained Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 0035 | Screw-retained Lithium Disilicate/Silicate Crown | Each | $0.00 | $0.00 | $0.00 |
| IMPLANTS PROSTHETICS (Abutments) | |||||
| 0036 | Titanium CAD/CAM abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 0037 | Titanium CAD/CAM abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 0038 | Zirconia CAD/CAM abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 0039 | Zirconia CAD/CAM abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 0040 | Custom Abutment | Each | $0.00 | $0.00 | $0.00 |
| 0041 | Ti Base abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 0042 | Ti Base abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 0043 | All on 4, Fixed Hybrid Denture | Each | $0.00 | $0.00 | $0.00 |
| 0044 | Full arch removable overdenture, titanium bar with attachments | Each | $0.00 | $0.00 | $0.00 |
| 0045 | Titanium Bar (4 Implant Locations) | Each | $0.00 | $0.00 | $0.00 |
| REMOVABLE PROSTHETICS | |||||
| 0046 | Complete Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 0047 | Complete Denture Process and Finish (Packing Technique) | Each | $0.00 | $0.00 | $0.00 |
| 0048 | Complete Denture Process and Finish (Injection Technique) | Each | $0.00 | $0.00 | $0.00 |
| 0049 | Complete Denture CAD-CAM Milled | Each | $0.00 | $0.00 | $0.00 |
| 0050 | Complete Denture 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 0051 | Rebase | Each | $0.00 | $0.00 | $0.00 |
| 0052 | Reline | Each | $0.00 | $0.00 | $0.00 |
| 0053 | Repair add Tooth | Each | $0.00 | $0.00 | $0.00 |
| 0054 | Repair Simple Fracture | Each | $0.00 | $0.00 | $0.00 |
| 0055 | Repair Complex Fracture | Each | $0.00 | $0.00 | $0.00 |
| REMOVABLE PROSTHETICS OTHER | |||||
| 0056 | Custom Tray | Each | $0.00 | $0.00 | $0.00 |
| 0057 | Model (Stone or Plaster) | Each | $0.00 | $0.00 | $0.00 |
| 0058 | Model 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 0059 | Bite Blocks | Each | $0.00 | $0.00 | $0.00 |
| 0060 | Nightguard Hard Heat Cured | Each | $0.00 | $0.00 | $0.00 |
| 0061 | Nightguard Vacuum-formed | Each | $0.00 | $0.00 | $0.00 |
| 0062 | Nightguard Dual-laminant | Each | $0.00 | $0.00 | $0.00 |
| 0063 | Nightguard Talon | Each | $0.00 | $0.00 | $0.00 |
| 0064 | Nightguard 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 0065 | Nightguard 3D Milled | Each | $0.00 | $0.00 | $0.00 |
| 0066 | Surgical Stent | Each | $0.00 | $0.00 | $0.00 |
| 0067 | Additional Clasp Wire Surcharge (Each) | Each | $0.00 | $0.00 | $0.00 |
| 0068 | Additional Clasp Clear/Tooth Surcharge (Each) | Each | $0.00 | $0.00 | $0.00 |
| PARTIAL DENTURES | |||||
| 0069 | Framework Cast | Each | $0.00 | $0.00 | $0.00 |
| 0070 | Framework CAD/CAST | Each | $0.00 | $0.00 | $0.00 |
| 0071 | Framework CAD/Laser-Sintered/SLM | Each | $0.00 | $0.00 | $0.00 |
| 0072 | Framework Milled Polymer Tooth Shade | Each | $0.00 | $0.00 | $0.00 |
| 0073 | Framework Milled Polymer Clear Shade | Each | $0.00 | $0.00 | $0.00 |
| 0074 | Reline Partial Denture | Each | $0.00 | $0.00 | $0.00 |
| 0075 | Acrylic Transitional Partial Denture w/ 2 Clasps | Each | $0.00 | $0.00 | $0.00 |
| 0076 | Acrylic Transitional Partial Denture from Setup | Each | $0.00 | $0.00 | $0.00 |
| 0077 | Partial Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 0078 | Partial Denture Setup and Process (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 0079 | Partial Denture Process & Finish | Each | $0.00 | $0.00 | $0.00 |
| 0080 | Flexible Partial Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 0081 | Flexible Partial Denture Setup and Process (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 0082 | Flexible Partial Denture Process & Finish | Each | $0.00 | $0.00 | $0.00 |
Option Y1
| CLIN | P/N Description | Unit of Measure (UOM) | Unit Cost| Price | **3% SLA FEE | Total Price (SLA FEE INCLUDED) |
| CROWN AND BRIDGE METAL and METAL CERAMIC | |||||
| 1001 | PFM Crown (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 1002 | PFM Crowns (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 1003 | PFM FPD (Bridge units - Retainer and pontics) (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 1004 | PFM FPD (Bridge units - Retainer and pontics) (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 1005 | Porcelain Application Only | Each | $0.00 | $0.00 | $0.00 |
| 1006 | Full Metal Crowns (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 1007 | Full Metal Crowns (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 1008 | Full Metal FPD (bridge units) (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 1009 | Full Metal FPD (bridge units) (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 1010 | Resin-bonded bridges (Maryland Bridge) (Ceramic) | Each | $0.00 | $0.00 | $0.00 |
| 1011 | Resin-bonded bridges (Maryland Bridge) (MetalCeramic) | Each | $0.00 | $0.00 | $0.00 |
| CROWN AND BRIDGE METAL FREE | |||||
| 1012 | Porcelain Laminate Veneer | Each | $0.00 | $0.00 | $0.00 |
| 1013 | All-Ceramic inlay-Onlay-3/4 Crown | Each | $0.00 | $0.00 | $0.00 |
| 1014 | Pressed Lithium Disilicate/Silicate Crown/Full Contour | Each | $0.00 | $0.00 | $0.00 |
| 1015 | Pressed Lithium Disilicate/Silicate Crown/Layered | Each | $0.00 | $0.00 | $0.00 |
| 1016 | Milled Lithium Disilicate/Silicate Crown/Full Contour | Each | $0.00 | $0.00 | $0.00 |
| 1017 | Milled Lithium Disilicate/Silicate Crown/Layered | Each | $0.00 | $0.00 | $0.00 |
| 1018 | Porcelain-to-Zirconia Layered Crown | Each | $0.00 | $0.00 | $0.00 |
| 1019 | Monolithic Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 1020 | Metal-free 3-unit bridge w/Zirconia Understructure | Each | $0.00 | $0.00 | $0.00 |
| CROWN AND BRIDGE OTHER | |||||
| 1021 | Processed Acrylic Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 1022 | Milled Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 1023 | 3D-Printed Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 1024 | 3D-Printed Model from Intraoral Scan (Per Arch) | Each | $0.00 | $0.00 | $0.00 |
| 1025 | Diagnostic Waxup (Per tooth) | Each | $0.00 | $0.00 | $0.00 |
| 1026 | Cast Post and Core | Each | $0.00 | $0.00 | $0.00 |
| 1027 | Special Ceramics Addition (Pink Porcelain) | Each | $0.00 | $0.00 | $0.00 |
| IMPLANTS PROSTHETICS (Single Unit) | |||||
| 1028 | Cement-retained PFM Crown | Each | $0.00 | $0.00 | $0.00 |
| 1029 | Cement-retained Metal Crown | Each | $0.00 | $0.00 | $0.00 |
| 1030 | Cement-retained Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 1031 | Cement-retained Lithium Disilicate/Silicate Crown | Each | $0.00 | $0.00 | $0.00 |
| 1032 | Screw-retained PFM Crown | Each | $0.00 | $0.00 | $0.00 |
| 1033 | Screw-retained Metal Crown | Each | $0.00 | $0.00 | $0.00 |
| 1034 | Screw-retained Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 1035 | Screw-retained Lithium Disilicate/Silicate Crown | Each | $0.00 | $0.00 | $0.00 |
| IMPLANTS PROSTHETICS (Abutments) | |||||
| 1036 | Titanium CAD/CAM abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 1037 | Titanium CAD/CAM abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 1038 | Zirconia CAD/CAM abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 1039 | Zirconia CAD/CAM abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 1040 | Custom Abutment | Each | $0.00 | $0.00 | $0.00 |
| 1041 | Ti Base abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 1042 | Ti Base abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 1043 | All on 4, Fixed Hybrid Denture | Each | $0.00 | $0.00 | $0.00 |
| 1044 | Full arch removable overdenture, titanium bar with attachments | Each | $0.00 | $0.00 | $0.00 |
| 1045 | Titanium Bar | Each | $0.00 | $0.00 | $0.00 |
| REMOVABLE PROSTHETICS | |||||
| 1046 | Complete Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 1047 | Complete Denture Process and Finish (Packing Technique) | Each | $0.00 | $0.00 | $0.00 |
| 1048 | Complete Denture Process and Finish (Injection Technique) | Each | $0.00 | $0.00 | $0.00 |
| 1049 | Complete Denture CAD-CAM Milled | Each | $0.00 | $0.00 | $0.00 |
| 1050 | Complete Denture 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 1051 | Rebase | Each | $0.00 | $0.00 | $0.00 |
| 1052 | Reline | Each | $0.00 | $0.00 | $0.00 |
| 1053 | Repair add Tooth | Each | $0.00 | $0.00 | $0.00 |
| 1054 | Repair Simple Fracture | Each | $0.00 | $0.00 | $0.00 |
| 1055 | Repair Complex Fracture | Each | $0.00 | $0.00 | $0.00 |
| REMOVABLE PROSTHETICS OTHER | |||||
| 1056 | Custom Tray | Each | $0.00 | $0.00 | $0.00 |
| 1057 | Model (Stone or Plaster) | Each | $0.00 | $0.00 | $0.00 |
| 1058 | Model 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 1059 | Bite Blocks | Each | $0.00 | $0.00 | $0.00 |
| 1060 | Nightguard Hard Heat Cured | Each | $0.00 | $0.00 | $0.00 |
| 1061 | Nightguard Vacuum-formed | Each | $0.00 | $0.00 | $0.00 |
| 1062 | Nightguard Dual-laminant | Each | $0.00 | $0.00 | $0.00 |
| 1063 | Nightguard Talon | Each | $0.00 | $0.00 | $0.00 |
| 1064 | Nightguard 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 1065 | Nightguard 3D Milled | Each | $0.00 | $0.00 | $0.00 |
| 1066 | Surgical Stent | Each | $0.00 | $0.00 | $0.00 |
| 1067 | Additional Clasp Wire Surcharge (Each) | Each | $0.00 | $0.00 | $0.00 |
| 1068 | Additional Clasp Clear/Tooth Surcharge (Each) | Each | $0.00 | $0.00 | $0.00 |
| PARTIAL DENTURES | |||||
| 1069 | Framework Cast | Each | $0.00 | $0.00 | $0.00 |
| 1070 | Framework CAD/CAST | Each | $0.00 | $0.00 | $0.00 |
| 1071 | Framework CAD/Laser-Sintered/SLM | Each | $0.00 | $0.00 | $0.00 |
| 1072 | Framework Milled Polymer Tooth Shade | Each | $0.00 | $0.00 | $0.00 |
| 1073 | Framework Milled Polymer Clear Shade | Each | $0.00 | $0.00 | $0.00 |
| 1074 | Reline Partial Denture | Each | $0.00 | $0.00 | $0.00 |
| 1075 | Acrylic Transitional Partial Denture w/ 2 Clasps | Each | $0.00 | $0.00 | $0.00 |
| 1076 | Acrylic Transitional Partial Denture from Setup | Each | $0.00 | $0.00 | $0.00 |
| 1077 | Partial Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 1078 | Partial Denture Setup and Process (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 1079 | Partial Denture Process & Finish | Each | $0.00 | $0.00 | $0.00 |
| 1080 | Flexible Partial Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 1081 | Flexible Partial Denture Setup and Process (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 1082 | Flexible Partial Denture Process & Finish | Each | $0.00 | $0.00 | $0.00 |
Option Y2
| CLIN | P/N Description | Unit of Measure (UOM) | Unit Cost| Price | **3% SLA FEE | Total Price (SLA FEE INCLUDED) |
| CROWN AND BRIDGE METAL and METAL CERAMIC | |||||
| 2001 | PFM Crown (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 2002 | PFM Crowns (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 2003 | PFM FPD (Bridge units - Retainer and pontics) (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 2004 | PFM FPD (Bridge units - Retainer and pontics) (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 2005 | Porcelain Application Only | Each | $0.00 | $0.00 | $0.00 |
| 2006 | Full Metal Crowns (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 2007 | Full Metal Crowns (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 2008 | Full Metal FPD (bridge units) (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 2009 | Full Metal FPD (bridge units) (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 2010 | Resin-bonded bridges (Maryland Bridge) (Ceramic) | Each | $0.00 | $0.00 | $0.00 |
| 2011 | Resin-bonded bridges (Maryland Bridge) (MetalCeramic) | Each | $0.00 | $0.00 | $0.00 |
| CROWN AND BRIDGE METAL FREE | |||||
| 2012 | Porcelain Laminate Veneer | Each | $0.00 | $0.00 | $0.00 |
| 2013 | All-Ceramic inlay-Onlay-3/4 Crown | Each | $0.00 | $0.00 | $0.00 |
| 2014 | Pressed Lithium Disilicate/Silicate Crown/Full Contour | Each | $0.00 | $0.00 | $0.00 |
| 2015 | Pressed Lithium Disilicate/Silicate Crown/Layered | Each | $0.00 | $0.00 | $0.00 |
| 2016 | Milled Lithium Disilicate/Silicate Crown/Full Contour | Each | $0.00 | $0.00 | $0.00 |
| 2017 | Milled Lithium Disilicate/Silicate Crown/Layered | Each | $0.00 | $0.00 | $0.00 |
| 2018 | Porcelain-to-Zirconia Layered Crown | Each | $0.00 | $0.00 | $0.00 |
| 2019 | Monolithic Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 2020 | Metal-free 3-unit bridge w/Zirconia Understructure | Each | $0.00 | $0.00 | $0.00 |
| CROWN AND BRIDGE OTHER | |||||
| 2021 | Processed Acrylic Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 2022 | Milled Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 2023 | 3D-Printed Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 2024 | 3D-Printed Model from Intraoral Scan (Per Arch) | Each | $0.00 | $0.00 | $0.00 |
| 2025 | Diagnostic Waxup (Per tooth) | Each | $0.00 | $0.00 | $0.00 |
| 2026 | Cast Post and Core | Each | $0.00 | $0.00 | $0.00 |
| 2027 | Special Ceramics Addition (Pink Porcelain) | Each | $0.00 | $0.00 | $0.00 |
| IMPLANTS PROSTHETICS (Single Unit) | |||||
| 2028 | Cement-retained PFM Crown | Each | $0.00 | $0.00 | $0.00 |
| 2029 | Cement-retained Metal Crown | Each | $0.00 | $0.00 | $0.00 |
| 2030 | Cement-retained Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 2031 | Cement-retained Lithium Disilicate/Silicate Crown | Each | $0.00 | $0.00 | $0.00 |
| 2032 | Screw-retained PFM Crown | Each | $0.00 | $0.00 | $0.00 |
| 2033 | Screw-retained Metal Crown | Each | $0.00 | $0.00 | $0.00 |
| 2034 | Screw-retained Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 2035 | Screw-retained Lithium Disilicate/Silicate Crown | Each | $0.00 | $0.00 | $0.00 |
| IMPLANTS PROSTHETICS (Abutments) | |||||
| 2036 | Titanium CAD/CAM abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 2037 | Titanium CAD/CAM abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 2038 | Zirconia CAD/CAM abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 2039 | Zirconia CAD/CAM abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 2040 | Custom Abutment | Each | $0.00 | $0.00 | $0.00 |
| 2041 | Ti Base abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 2042 | Ti Base abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 2043 | All on 4, Fixed Hybrid Denture | Each | $0.00 | $0.00 | $0.00 |
| 2044 | Full arch removable overdenture, titanium bar with attachments | Each | $0.00 | $0.00 | $0.00 |
| 2045 | Titanium Bar | Each | $0.00 | $0.00 | $0.00 |
| REMOVABLE PROSTHETICS | |||||
| 2046 | Complete Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 2047 | Complete Denture Process and Finish (Packing Technique) | Each | $0.00 | $0.00 | $0.00 |
| 2048 | Complete Denture Process and Finish (Injection Technique) | Each | $0.00 | $0.00 | $0.00 |
| 2049 | Complete Denture CAD-CAM Milled | Each | $0.00 | $0.00 | $0.00 |
| 2050 | Complete Denture 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 2051 | Rebase | Each | $0.00 | $0.00 | $0.00 |
| 2052 | Reline | Each | $0.00 | $0.00 | $0.00 |
| 2053 | Repair add Tooth | Each | $0.00 | $0.00 | $0.00 |
| 2054 | Repair Simple Fracture | Each | $0.00 | $0.00 | $0.00 |
| 2055 | Repair Complex Fracture | Each | $0.00 | $0.00 | $0.00 |
| REMOVABLE PROSTHETICS OTHER | |||||
| 2056 | Custom Tray | Each | $0.00 | $0.00 | $0.00 |
| 2057 | Model (Stone or Plaster) | Each | $0.00 | $0.00 | $0.00 |
| 2058 | Model 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 2059 | Bite Blocks | Each | $0.00 | $0.00 | $0.00 |
| 2060 | Nightguard Hard Heat Cured | Each | $0.00 | $0.00 | $0.00 |
| 2061 | Nightguard Vacuum-formed | Each | $0.00 | $0.00 | $0.00 |
| 2062 | Nightguard Dual-laminant | Each | $0.00 | $0.00 | $0.00 |
| 2063 | Nightguard Talon | Each | $0.00 | $0.00 | $0.00 |
| 2064 | Nightguard 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 2065 | Nightguard 3D Milled | Each | $0.00 | $0.00 | $0.00 |
| 2066 | Surgical Stent | Each | $0.00 | $0.00 | $0.00 |
| 2067 | Additional Clasp Wire Surcharge (Each) | Each | $0.00 | $0.00 | $0.00 |
| 2068 | Additional Clasp Clear/Tooth Surcharge (Each) | Each | $0.00 | $0.00 | $0.00 |
| PARTIAL DENTURES | |||||
| 2069 | Framework Cast | Each | $0.00 | $0.00 | $0.00 |
| 2070 | Framework CAD/CAST | Each | $0.00 | $0.00 | $0.00 |
| 2071 | Framework CAD/Laser-Sintered/SLM | Each | $0.00 | $0.00 | $0.00 |
| 2072 | Framework Milled Polymer Tooth Shade | Each | $0.00 | $0.00 | $0.00 |
| 2073 | Framework Milled Polymer Clear Shade | Each | $0.00 | $0.00 | $0.00 |
| 2074 | Reline Partial Denture | Each | $0.00 | $0.00 | $0.00 |
| 2075 | Acrylic Transitional Partial Denture w/ 2 Clasps | Each | $0.00 | $0.00 | $0.00 |
| 2076 | Acrylic Transitional Partial Denture from Setup | Each | $0.00 | $0.00 | $0.00 |
| 2077 | Partial Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 2078 | Partial Denture Setup and Process (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 2079 | Partial Denture Process & Finish | Each | $0.00 | $0.00 | $0.00 |
| 2080 | Flexible Partial Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 2081 | Flexible Partial Denture Setup and Process (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 2082 | Flexible Partial Denture Process & Finish | Each | $0.00 | $0.00 | $0.00 |
Option Y3
| CLIN | P/N Description | Unit of Measure (UOM) | Unit Cost| Price | **3% SLA FEE | Total Price (SLA FEE INCLUDED) |
| CROWN AND BRIDGE METAL and METAL CERAMIC | |||||
| 3001 | PFM Crown (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 3002 | PFM Crowns (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 3003 | PFM FPD (Bridge units - Retainer and pontics) (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 3004 | PFM FPD (Bridge units - Retainer and pontics) (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 3005 | Porcelain Application Only | Each | $0.00 | $0.00 | $0.00 |
| 3006 | Full Metal Crowns (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 3007 | Full Metal Crowns (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 3008 | Full Metal FPD (bridge units) (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 3009 | Full Metal FPD (bridge units) (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 3010 | Resin-bonded bridges (Maryland Bridge) (Ceramic) | Each | $0.00 | $0.00 | $0.00 |
| 3011 | Resin-bonded bridges (Maryland Bridge) (MetalCeramic) | Each | $0.00 | $0.00 | $0.00 |
| CROWN AND BRIDGE METAL FREE | |||||
| 3012 | Porcelain Laminate Veneer | Each | $0.00 | $0.00 | $0.00 |
| 3013 | All-Ceramic inlay-Onlay-3/4 Crown | Each | $0.00 | $0.00 | $0.00 |
| 3014 | Pressed Lithium Disilicate/Silicate Crown/Full Contour | Each | $0.00 | $0.00 | $0.00 |
| 3015 | Pressed Lithium Disilicate/Silicate Crown/Layered | Each | $0.00 | $0.00 | $0.00 |
| 3016 | Milled Lithium Disilicate/Silicate Crown/Full Contour | Each | $0.00 | $0.00 | $0.00 |
| 3017 | Milled Lithium Disilicate/Silicate Crown/Layered | Each | $0.00 | $0.00 | $0.00 |
| 3018 | Porcelain-to-Zirconia Layered Crown | Each | $0.00 | $0.00 | $0.00 |
| 3019 | Monolithic Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 3020 | Metal-free 3-unit bridge w/Zirconia Understructure | Each | $0.00 | $0.00 | $0.00 |
| CROWN AND BRIDGE OTHER | |||||
| 3021 | Processed Acrylic Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 3022 | Milled Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 3023 | 3D-Printed Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 3024 | 3D-Printed Model from Intraoral Scan (Per Arch) | Each | $0.00 | $0.00 | $0.00 |
| 3025 | Diagnostic Waxup (Per tooth) | Each | $0.00 | $0.00 | $0.00 |
| 3026 | Cast Post and Core | Each | $0.00 | $0.00 | $0.00 |
| 3027 | Special Ceramics Addition (Pink Porcelain) | Each | $0.00 | $0.00 | $0.00 |
| IMPLANTS PROSTHETICS (Single Unit) | |||||
| 3028 | Cement-retained PFM Crown | Each | $0.00 | $0.00 | $0.00 |
| 3029 | Cement-retained Metal Crown | Each | $0.00 | $0.00 | $0.00 |
| 3030 | Cement-retained Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 3031 | Cement-retained Lithium Disilicate/Silicate Crown | Each | $0.00 | $0.00 | $0.00 |
| 3032 | Screw-retained PFM Crown | Each | $0.00 | $0.00 | $0.00 |
| 3033 | Screw-retained Metal Crown | Each | $0.00 | $0.00 | $0.00 |
| 3034 | Screw-retained Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 3035 | Screw-retained Lithium Disilicate/Silicate Crown | Each | $0.00 | $0.00 | $0.00 |
| IMPLANTS PROSTHETICS (Abutments) | |||||
| 3036 | Titanium CAD/CAM abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 3037 | Titanium CAD/CAM abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 3038 | Zirconia CAD/CAM abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 3039 | Zirconia CAD/CAM abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 3040 | Custom Abutment | Each | $0.00 | $0.00 | $0.00 |
| 3041 | Ti Base abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 3042 | Ti Base abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 3043 | All on 4, Fixed Hybrid Denture | Each | $0.00 | $0.00 | $0.00 |
| 3044 | Full arch removable overdenture, titanium bar with attachments | Each | $0.00 | $0.00 | $0.00 |
| 3045 | Titanium Bar | Each | $0.00 | $0.00 | $0.00 |
| REMOVABLE PROSTHETICS | |||||
| 3046 | Complete Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 3047 | Complete Denture Process and Finish (Packing Technique) | Each | $0.00 | $0.00 | $0.00 |
| 3048 | Complete Denture Process and Finish (Injection Technique) | Each | $0.00 | $0.00 | $0.00 |
| 3049 | Complete Denture CAD-CAM Milled | Each | $0.00 | $0.00 | $0.00 |
| 3050 | Complete Denture 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 3051 | Rebase | Each | $0.00 | $0.00 | $0.00 |
| 3052 | Reline | Each | $0.00 | $0.00 | $0.00 |
| 3053 | Repair add Tooth | Each | $0.00 | $0.00 | $0.00 |
| 3054 | Repair Simple Fracture | Each | $0.00 | $0.00 | $0.00 |
| 3055 | Repair Complex Fracture | Each | $0.00 | $0.00 | $0.00 |
| REMOVABLE PROSTHETICS OTHER | |||||
| 3056 | Custom Tray | Each | $0.00 | $0.00 | $0.00 |
| 3057 | Model (Stone or Plaster) | Each | $0.00 | $0.00 | $0.00 |
| 3058 | Model 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 3059 | Bite Blocks | Each | $0.00 | $0.00 | $0.00 |
| 3060 | Nightguard Hard Heat Cured | Each | $0.00 | $0.00 | $0.00 |
| 3061 | Nightguard Vacuum-formed | Each | $0.00 | $0.00 | $0.00 |
| 3062 | Nightguard Dual-laminant | Each | $0.00 | $0.00 | $0.00 |
| 3063 | Nightguard Talon | Each | $0.00 | $0.00 | $0.00 |
| 3064 | Nightguard 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 3065 | Nightguard 3D Milled | Each | $0.00 | $0.00 | $0.00 |
| 3066 | Surgical Stent | Each | $0.00 | $0.00 | $0.00 |
| 3067 | Additional Clasp Wire Surcharge (Each) | Each | $0.00 | $0.00 | $0.00 |
| 0068 | Additional Clasp Clear/Tooth Surcharge (Each) | Each | $0.00 | $0.00 | $0.00 |
| PARTIAL DENTURES | |||||
| 3069 | Framework Cast | Each | $0.00 | $0.00 | $0.00 |
| 3070 | Framework CAD/CAST | Each | $0.00 | $0.00 | $0.00 |
| 3071 | Framework CAD/Laser-Sintered/SLM | Each | $0.00 | $0.00 | $0.00 |
| 3072 | Framework Milled Polymer Tooth Shade | Each | $0.00 | $0.00 | $0.00 |
| 3073 | Framework Milled Polymer Clear Shade | Each | $0.00 | $0.00 | $0.00 |
| 3074 | Reline Partial Denture | Each | $0.00 | $0.00 | $0.00 |
| 3075 | Acrylic Transitional Partial Denture w/ 2 Clasps | Each | $0.00 | $0.00 | $0.00 |
| 3076 | Acrylic Transitional Partial Denture from Setup | Each | $0.00 | $0.00 | $0.00 |
| 3077 | Partial Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 3078 | Partial Denture Setup and Process (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 3079 | Partial Denture Process & Finish | Each | $0.00 | $0.00 | $0.00 |
| 3080 | Flexible Partial Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 3081 | Flexible Partial Denture Setup and Process (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 3082 | Flexible Partial Denture Process & Finish | Each | $0.00 | $0.00 | $0.00 |
Option Y4
| CLIN | P/N Description | Unit of Measure (UOM) | Unit Cost| Price | **3% SLA FEE | Total Price (SLA FEE INCLUDED) |
| CROWN AND BRIDGE METAL and METAL CERAMIC | |||||
| 4001 | PFM Crown (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 4002 | PFM Crowns (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 4003 | PFM FPD (Bridge units - Retainer and pontics) (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 4004 | PFM FPD (Bridge units - Retainer and pontics) (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 4005 | Porcelain Application Only | Each | $0.00 | $0.00 | $0.00 |
| 4006 | Full Metal Crowns (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 4007 | Full Metal Crowns (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 4008 | Full Metal FPD (bridge units) (Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 4009 | Full Metal FPD (bridge units) (High Noble Alloy) | Each | $0.00 | $0.00 | $0.00 |
| 4010 | Resin-bonded bridges (Maryland Bridge) (Ceramic) | Each | $0.00 | $0.00 | $0.00 |
| 4011 | Resin-bonded bridges (Maryland Bridge) (MetalCeramic) | Each | $0.00 | $0.00 | $0.00 |
| CROWN AND BRIDGE METAL FREE | |||||
| 4012 | Porcelain Laminate Veneer | Each | $0.00 | $0.00 | $0.00 |
| 4013 | All-Ceramic inlay-Onlay-3/4 Crown | Each | $0.00 | $0.00 | $0.00 |
| 4014 | Pressed Lithium Disilicate/Silicate Crown/Full Contour | Each | $0.00 | $0.00 | $0.00 |
| 4015 | Pressed Lithium Disilicate/Silicate Crown/Layered | Each | $0.00 | $0.00 | $0.00 |
| 4016 | Milled Lithium Disilicate/Silicate Crown/Full Contour | Each | $0.00 | $0.00 | $0.00 |
| 4017 | Milled Lithium Disilicate/Silicate Crown/Layered | Each | $0.00 | $0.00 | $0.00 |
| 4018 | Porcelain-to-Zirconia Layered Crown | Each | $0.00 | $0.00 | $0.00 |
| 4019 | Monolithic Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 4020 | Metal-free 3-unit bridge w/Zirconia Understructure | Each | $0.00 | $0.00 | $0.00 |
| CROWN AND BRIDGE OTHER | |||||
| 4021 | Processed Acrylic Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 4022 | Milled Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 4023 | 3D-Printed Provisional Restoration (Per Unit) | Each | $0.00 | $0.00 | $0.00 |
| 4024 | 3D-Printed Model from Intraoral Scan (Per Arch) | Each | $0.00 | $0.00 | $0.00 |
| 4025 | Diagnostic Waxup (Per tooth) | Each | $0.00 | $0.00 | $0.00 |
| 4026 | Cast Post and Core | Each | $0.00 | $0.00 | $0.00 |
| 4027 | Special Ceramics Addition (Pink Porcelain) | Each | $0.00 | $0.00 | $0.00 |
| IMPLANTS PROSTHETICS (Single Unit) | |||||
| 4028 | Cement-retained PFM Crown | Each | $0.00 | $0.00 | $0.00 |
| 4029 | Cement-retained Metal Crown | Each | $0.00 | $0.00 | $0.00 |
| 4030 | Cement-retained Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 4031 | Cement-retained Lithium Disilicate/Silicate Crown | Each | $0.00 | $0.00 | $0.00 |
| 4032 | Screw-retained PFM Crown | Each | $0.00 | $0.00 | $0.00 |
| 4033 | Screw-retained Metal Crown | Each | $0.00 | $0.00 | $0.00 |
| 4034 | Screw-retained Zirconia Crown | Each | $0.00 | $0.00 | $0.00 |
| 4035 | Screw-retained Lithium Disilicate/Silicate Crown | Each | $0.00 | $0.00 | $0.00 |
| IMPLANTS PROSTHETICS (Abutments) | |||||
| 4036 | Titanium CAD/CAM abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 4037 | Titanium CAD/CAM abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 4038 | Zirconia CAD/CAM abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 4039 | Zirconia CAD/CAM abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 4040 | Custom Abutment | Each | $0.00 | $0.00 | $0.00 |
| 4041 | Ti Base abutment (OEM) | Each | $0.00 | $0.00 | $0.00 |
| 4042 | Ti Base abutment (Aftermarket) | Each | $0.00 | $0.00 | $0.00 |
| 4043 | All on 4, Fixed Hybrid Denture | Each | $0.00 | $0.00 | $0.00 |
| 4044 | Full arch removable overdenture, titanium bar with attachments | Each | $0.00 | $0.00 | $0.00 |
| 4045 | Titanium Bar | Each | $0.00 | $0.00 | $0.00 |
| REMOVABLE PROSTHETICS | |||||
| 4046 | Complete Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 4047 | Complete Denture Process and Finish (Packing Technique) | Each | $0.00 | $0.00 | $0.00 |
| 4048 | Complete Denture Process and Finish (Injection Technique) | Each | $0.00 | $0.00 | $0.00 |
| 4049 | Complete Denture CAD-CAM Milled | Each | $0.00 | $0.00 | $0.00 |
| 4050 | Complete Denture 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 4051 | Rebase | Each | $0.00 | $0.00 | $0.00 |
| 4052 | Reline | Each | $0.00 | $0.00 | $0.00 |
| 4053 | Repair add Tooth | Each | $0.00 | $0.00 | $0.00 |
| 4054 | Repair Simple Fracture | Each | $0.00 | $0.00 | $0.00 |
| 4055 | Repair Complex Fracture | Each | $0.00 | $0.00 | $0.00 |
| REMOVABLE PROSTHETICS OTHER | |||||
| 4056 | Custom Tray | Each | $0.00 | $0.00 | $0.00 |
| 4057 | Model (Stone or Plaster) | Each | $0.00 | $0.00 | $0.00 |
| 4058 | Model 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 4059 | Bite Blocks | Each | $0.00 | $0.00 | $0.00 |
| 4060 | Nightguard Hard Heat Cured | Each | $0.00 | $0.00 | $0.00 |
| 4061 | Nightguard Vacuum-formed | Each | $0.00 | $0.00 | $0.00 |
| 4062 | Nightguard Dual-laminant | Each | $0.00 | $0.00 | $0.00 |
| 4063 | Nightguard Talon | Each | $0.00 | $0.00 | $0.00 |
| 4064 | Nightguard 3D Printed | Each | $0.00 | $0.00 | $0.00 |
| 4065 | Nightguard 3D Milled | Each | $0.00 | $0.00 | $0.00 |
| 4066 | Surgical Stent | Each | $0.00 | $0.00 | $0.00 |
| 4067 | Additional Clasp Wire Surcharge (Each) | Each | $0.00 | $0.00 | $0.00 |
| 4068 | Additional Clasp Clear/Tooth Surcharge (Each) | Each | $0.00 | $0.00 | $0.00 |
| PARTIAL DENTURES | |||||
| 4069 | Framework Cast | Each | $0.00 | $0.00 | $0.00 |
| 4070 | Framework CAD/CAST | Each | $0.00 | $0.00 | $0.00 |
| 4071 | Framework CAD/Laser-Sintered/SLM | Each | $0.00 | $0.00 | $0.00 |
| 4072 | Framework Milled Polymer Tooth Shade | Each | $0.00 | $0.00 | $0.00 |
| 4073 | Framework Milled Polymer Clear Shade | Each | $0.00 | $0.00 | $0.00 |
| 4074 | Reline Partial Denture | Each | $0.00 | $0.00 | $0.00 |
| 4075 | Acrylic Transitional Partial Denture w/ 2 Clasps | Each | $0.00 | $0.00 | $0.00 |
| 4076 | Acrylic Transitional Partial Denture from Setup | Each | $0.00 | $0.00 | $0.00 |
| 4077 | Partial Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 4078 | Partial Denture Setup and Process (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 4079 | Partial Denture Process & Finish | Each | $0.00 | $0.00 | $0.00 |
| 4080 | Flexible Partial Denture Setup (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 4081 | Flexible Partial Denture Setup and Process (Premium Teeth / IPN Equivalent) | Each | $0.00 | $0.00 | $0.00 |
| 4082 | Flexible Partial Denture Process & Finish | Each | $0.00 | $0.00 | $0.00 |
Sheet3
File details come from the government source that posted it. Updated .