Schedule B Attachment 11.14.xlsx
XLSX spreadsheet 162 KB Posted
- Solicitation number
- 36C25925R0043
About this file
This Schedule B Attachment is a comprehensive pricing schedule for a dental laboratory services contract for the Eastern Colorado Healthcare System and Cheyenne VA Medical Center, covering dental implants, prosthesis fabrication, and repair services. The document details 4,372 line items spanning five ordering periods from February 1, 2026 through January 31, 2031, with pricing for various dental procedures including crowns, bridges, dentures, implant components, and specialized dental laboratory services across multiple material types such as high noble alloy, zirconia, and composite materials.
The pricing schedule is structured with two primary vendor categories (CHY 442 and ECHCS 554), each offering identical services with varying price points across five consecutive one-year ordering periods. Services range from basic procedures like custom trays and diagnostic wax-ups to complex implant crown fabrications and specialized prosthetic frameworks. Pricing varies by procedure complexity, with most items priced between $1 and $1,100 per unit, and some alloy estimates priced by gram. The contract appears to be a single-award Indefinite Delivery/Indefinite Quantity (IDIQ) contract for the Department of Veterans Affairs, designed to provide comprehensive dental laboratory services for VA healthcare facilities.
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Other files
| File | Type | Posted |
|---|---|---|
| FAR 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services 11.14.2025.docx | DOCX document | |
| Vendor questions and answers 11.14.2025.docx | DOCX document | |
| SOW Updated 11.14.2025.docx | DOCX document | |
| 36C25925R0043 0001.docx | DOCX document | |
| 36C25925R0043 0003.docx | DOCX document | |
| 36C25925R0043 0002.docx | DOCX document | |
| Past Performance Questionnaire.docx | DOCX document | |
| FAR 52.225-2 Buy American Certificate.docx | DOCX document | |
| Notice of FAR Class Deviation to Implement Section 2 of Executive Order E.O. 14148.docx | DOCX document | |
| SCHEDULE B Attachment 8.18.xlsx | XLSX spreadsheet | |
| 36C25925R0043.docx | DOCX document | |
| Government Furnished Property.docx | DOCX document |
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Item Information
| Item Number | Description | Contract Period | Pop Begin | Pop End | Quantity | Unit of Measure | Unit Price | Amount | PRINCIPAL NAICS CODE | PRODUCT/SERVICE CODE | UNSPSC | SIC CODE | MANUFACTURER PART NUMBER (MPN) | NATIONAL STOCK NUMBER | LOCAL STOCK NUMBER |
| 0001 | Ordering Period 1 442 CHY Full Cast Crown/Pontic, High Noble Alloy *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0002 | Ordering Period 1 442 CHY Cast lnlay/Onlay/Multi-Surface, High Noble Alloy *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0003 | Ordering Period 1 442 CHY Full Cast Crown/Pontic, Noble Alloy *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0004 | Ordering Period 1 442 CHY Cast lnlay/Onlay/Multi-Surface, Noble Alloy *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0005 | Ordering Period 1 442 CHY Porcelain-Fused-to-High Noble Crown/Pontic *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0006 | Ordering Period 1 442 CHY Porcelain-Fused-to-Noble Crown/Pontic *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0007 | Ordering Period 1 442 CHY Full Contour Zirconia Crown/Pontic | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0008 | Ordering Period 1 442 CHY Zirconia w/ Layered Porcelain Crown/Pontic | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0009 | Ordering Period 1 442 CHY Porcelain-Fused-to-Alumina Crown/Pontic | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0010 | Ordering Period 1 442 CHY Lithium Disilicate Pressed Crown/Pontic | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0011 | Ordering Period 1 442 CHY Lithium Disilicate Pressed w/ Layered Porcelain Crown/Pontic | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0012 | Ordering Period 1 442 CHY Lithium Disilicate Pressed lnlay/Onlay | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0013 | Ordering Period 1 442 CHY Leucite Glass-Ceramic Pressed Crown | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0014 | Ordering Period 1 442 CHY Leucite Glass-Ceramic Pressed lnlay/Onlay | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0015 | Ordering Period 1 442 CHY [Layered Composite Services] Ceramage Crown/Pontic | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0016 | Ordering Period 1 442 CHY [Layered Composite Services] Ceramage lnlay/Onlay | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0017 | Ordering Period 1 442 CHY [Layered Composite Services] Ceramage FibreKor Maryland Bridge {includes one pontic) | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0018 | Ordering Period 1 442 CHY [Layered Composite Services] Radica Crown/Pontic | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0019 | Ordering Period 1 442 CHY [Layered Composite Services] Radica lnlay/Onlay | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0020 | Ordering Period 1 442 CHY Layered Porcelain Veneer-Feldspathic (refractory technique) | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0021 | Ordering Period 1 442 CHY [Maryland Bridge] Pontic (includes one model and die) | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0022 | Ordering Period 1 442 CHY [Maryland Bridge] Wing (includes one model and die) | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0023 | Ordering Period 1 442 CHY Provisional Temporary Crown/Pontic (Diagnostic Wax-up billed separately) | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0024 | Ordering Period 1 442 CHY Custom Tray | Base | 2/1/26 | 1/31/27 | 30.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0025 | Ordering Period 1 442 CHY Diagnostic Wax-up | Base | 2/1/26 | 1/31/27 | 25.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0026 | Ordering Period 1 442 CHY Provisional Stent | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0027 | Ordering Period 1 442 CHY Model Service | Base | 2/1/26 | 1/31/27 | 175.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0028 | Ordering Period 1 442 CHY Epoxy Model Service | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0029 | Ordering Period 1 442 CHY Die Service | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0030 | Ordering Period 1 442 CHY Duplicate Model Service | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0031 | Ordering Period 1 442 CHY Articulation (for simple hinge articulators) | Base | 2/1/26 | 1/31/27 | 70.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0032 | Ordering Period 1 442 CHY Articulation (for semi-adjustable articulators) | Base | 2/1/26 | 1/31/27 | 70.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0033 | Ordering Period 1 442 CHY Articulation with Face Bow (for semi-adjustable articulators) | Base | 2/1/26 | 1/31/27 | 70.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0034 | Ordering Period 1 442 CHY Porcelain Shoulder | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0035 | Ordering Period 1 442 CHY Metal Occlusal | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0036 | Ordering Period 1 442 CHY Design Crown for Partial | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0037 | Ordering Period 1 442 CHY Fit to Existing Partial | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0038 | Ordering Period 1 442 CHY Bridge Connector | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0039 | Ordering Period 1 442 CHY Stress Breaker | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0040 | Ordering Period 1 442 CHY Custom Shade (Includes two appointment process) | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0041 | Ordering Period 1 442 CHY Rush Fee (per unit) | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0042 | Ordering Period 1 442 CHY Cast Post & Core *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0043 | Ordering Period 1 442 CHY Laser Weld FOP Framework | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0044 | Ordering Period 1 442 CHY Solder FOP Framework | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0045 | Ordering Period 1 442 CHY Add Porcelain Contact | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0046 | Ordering Period 1 442 CHY Add Solder Contact | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0047 | Ordering Period 1 442 CHY Reduction Coping Resin | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0048 | Ordering Period 1 442 CHY Alloy Estimate for High Noble Gold Crowns/Pontics/lnlays/Onlays *Changes with Gold Market | Base | 2/1/26 | 1/31/27 | 100.00 | Gram | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0049 | Ordering Period 1 442 CHY Alloy Estimate for Noble Gold Crowns/Pontics/lnlays/Onlays *Changes with Gold Market | Base | 2/1/26 | 1/31/27 | 100.00 | Gram | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0050 | Ordering Period 1 442 CHY Alloy Estimate for High Noble PFM Crowns/Pontics *Changes with Gold Market | Base | 2/1/26 | 1/31/27 | 100.00 | Gram | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0051 | Ordering Period 1 442 CHY Alloy Estimate for Noble PFM Crowns/Pontics *Changes with Gold Market | Base | 2/1/26 | 1/31/27 | 100.00 | Gram | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0052 | Ordering Period 1 442 CHY Process and Finish, Complete Denture, Heat Processed, Compression Moulded (Processed w/ Lucitone 199 per Rx) | Base | 2/1/26 | 1/31/27 | 60.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0053 | Ordering Period 1 442 CHY Process and Finish, Complete Denture, Heat Processed, Injection Moulded (Processed w/ lvocap per Rx) | Base | 2/1/26 | 1/31/27 | 60.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0054 | Ordering Period 1 442 CHY Set-Up for Try-In, Complete Denture *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 60.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0055 | Ordering Period 1 442 CHY Process and Finish, Cast Framework Partial Denture {1-2 teeth), Heat Processed, Compression Moulded (Processed w/ Lucitone 199 per Rx) | Base | 2/1/26 | 1/31/27 | 60.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0056 | Ordering Period 1 442 CHY Process and Finish, Cast Framework Partial Denture (3-6 teeth), Heat Processed, Compression Moulded (Processed w/ Lucitone 199 per Rx) | Base | 2/1/26 | 1/31/27 | 60.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0057 | Ordering Period 1 442 CHY Process and Finish, Cast Framework Partial Denture (7 or more teeth), Heat Processed, Compression Moulded {Processed w/ Lucitone 199 per Rx) | Base | 2/1/26 | 1/31/27 | 60.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0058 | Ordering Period 1 442 CHY Set-Up for Try-In, Partial Denture {1 - 2 teeth) *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0059 | Ordering Period 1 442 CHY Set-Up for Try-In, Partial Denture (3 - 6 teeth) *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0060 | Ordering Period 1 442 CHY Set-Up for Try-In, Partial Denture (7 or more teeth) *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0061 | Ordering Period 1 442 CHY Process and Finish, Acrylic Partial Denture {1 -2 teeth) *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0062 | Ordering Period 1 442 CHY Process and Finish, Acrylic Partial Denture {3 -6 teeth) *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0063 | Ordering Period 1 442 CHY Process and Finish, Acrylic Partial Denture (7 or more teeth) *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0064 | Ordering Period 1 442 CHY Set-up, Process and Finish, Acrylic Partial Denture {1 -2 teeth) *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0065 | Ordering Period 1 442 CHY Set-up, Process and Finish, Acrylic Partial Denture {3 -6 teeth) *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0066 | Ordering Period 1 442 CHY Set-up, Process and Finish, Acrylic Partial Denture (7 or more teeth) *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0067 | Ordering Period 1 442 CHY Cu-Sil Partial (first area) Soft Gasket | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0068 | Ordering Period 1 442 CHY Cu-Sil Partial (each additional area) Soft Gasket | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0069 | Ordering Period 1 442 CHY Repair, Complete Denture, Replace Denture Tooth *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0070 | Ordering Period 1 442 CHY Repair, Complete Denture, Repair Acrylic Base | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0071 | Ordering Period 1 442 CHY Repair, Partial Denture, Replace Denture Tooth "Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0072 | Ordering Period 1 442 CHY Repair, Partial Denture, Add Denture Tooth -Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0073 | Ordering Period 1 442 CHY Repair, Partial Denture, Replace Clasp Assembly | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0074 | Ordering Period 1 442 CHY Repair, Partial Denture, Add Pre-Fabricated Clasp Assembly | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0075 | Ordering Period 1 442 CHY Repair, Partial Denture, Laser Weld, Add/Replace Clasp Assembly | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0076 | Ordering Period 1 442 CHY Repair, Partial Denture, Repair Acrylic Base | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0077 | Ordering Period 1 442 CHY Reline, Complete Denture | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0078 | Ordering Period 1 442 CHY Reline, Complete Denture, Soft Reline | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0079 | Ordering Period 1 442 CHY Reline, Complete Denture, Molloplast-B Reline | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0080 | Ordering Period 1 442 CHY Reline, Complete Denture, Same Day Turnaround | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0081 | Ordering Period 1 442 CHY Reline, Partial Denture (1 - 6 teeth) | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0082 | Ordering Period 1 442 CHY Reline, Partial Denture (7 or more teeth) | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0083 | Ordering Period 1 442 CHY Rebase, Complete Denture | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0084 | Ordering Period 1 442 CHY Reinforcement, Complete Denture, Pre-fabricated Mesh | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0085 | Ordering Period 1 442 CHY Reinforcement, Complete Denture, Custom Cast Internal Framework | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0086 | Ordering Period 1 442 CHY Wrought Wire Clasp | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0087 | Ordering Period 1 442 CHY Ball Clasp | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0088 | Ordering Period 1 442 CHY Name in Denture | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0089 | Ordering Period 1 442 CHY Duplicate Denture (poured resin teeth) | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0090 | Ordering Period 1 442 CHY Immediate Denture, Cast Surgery (1-2 teeth removed) | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0091 | Ordering Period 1 442 CHY Immediate Denture, Cast Surgery (3-6 teeth removed) | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0092 | Ordering Period 1 442 CHY Immediate Denture, Cast Surgery (7 or more teeth removed) | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0093 | Ordering Period 1 442 CHY Custom Tray | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0094 | Ordering Period 1 442 CHY Base Plate and Bite Rim | Base | 2/1/26 | 1/31/27 | 60.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0095 | Ordering Period 1 442 CHY Model Service | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0096 | Ordering Period 1 442 CHY Duplicate Model Service | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0097 | Ordering Period 1 442 CHY Altered Cast Model Service | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0098 | Ordering Period 1 442 CHY Articulation (for simple hinge articulators) | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0099 | Ordering Period 1 442 CHY Articulation (for semi-adjustable articulators) | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0100 | Ordering Period 1 442 CHY Wironium Partial Denture Framework (includes 2 clasps) *alloy is not billed separately for a Wironium framework | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0101 | Ordering Period 1 442 CHY Wironium Swing-Lock Partial Denture Framework (includes hinge/attachment components) | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0102 | Ordering Period 1 442 CHY Wironium Complete Denture Cast Base | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0103 | Ordering Period 1 442 CHY Wironium Obturator Framework | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0104 | Ordering Period 1 442 CHY Additional Cast Clasp for Partial Denture Framework *additional labor, materials, and alloy costs for additional framework design features above the standard Wironium framework with 2 claps. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0105 | Ordering Period 1 442 CHY Metal Pontic for Partial Denture Framework *additional labor, materials, and alloy costs for additional framework design features above the standard Wironium framework with 2 claps. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0106 | Ordering Period 1 442 CHY Metal Onlay for Partial Denture Framework *additional labor, materials, and alloy costs for additional framework design features above the standard Wironium framework with 2 claps. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0107 | Ordering Period 1 442 CHY Metal Backing for Partial Denture Framework *additional labor, materials, and alloy costs for additional framework design features above the standard Wironium framework with 2 claps. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0108 | Ordering Period 1 442 CHY Metal masking/Opaque for Partial Denture Framework | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0109 | Ordering Period 1 442 CHY Silicoating for Partial Denture Framework | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0110 | Ordering Period 1 442 CHY DSE Hinge for Partial Denture Framework | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0111 | Ordering Period 1 442 CHY Gold Framework for Partials *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0112 | Ordering Period 1 442 CHY Process and Finish, Flexible Partial Denture (1 -2 teeth) *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0113 | Ordering Period 1 442 CHY Process and Finish, Flexible Partial Denture (3 -6 teeth) *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0114 | Ordering Period 1 442 CHY Process and Finish, Flexible Partial Denture (7 or more teeth) "Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0115 | Ordering Period 1 442 CHY Set-up, Process and Finish, Flexible Partial Denture (1 -2 teeth) "Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0116 | Ordering Period 1 442 CHY Set-up, Process and Finish, Flexible Partial Denture {3 -6 teeth) "Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0117 | Ordering Period 1 442 CHY Set-up, Process and Finish, Flexible Partial Denture {7 or more teeth} *Teeth billed separately or may be provided by VA. | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0118 | Ordering Period 1 442 CHY Denture Teeth, Dentsply Portrait IPN, Anterior Tooth, EACH | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0119 | Ordering Period 1 442 CHY Denture Teeth, Dentsply Portrait IPN, Anterior Teeth, Set of 6 | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0120 | Ordering Period 1 442 CHY Denture Teeth, Dentsply Classic, Anterior Tooth, EACH | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0121 | Ordering Period 1 442 CHY Denture Teeth, Dentsply Classic, Anterior Teeth, Set of 6 | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0122 | Ordering Period 1 442 CHY Denture Teeth, Dentsply Portrait IPN, Posterior Tooth, EACH | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0123 | Ordering Period 1 442 CHY Denture Teeth, Dentsply Portrait IPN, Posterior Teeth, Set of 8 | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0124 | Ordering Period 1 442 CHY Denture Teeth, Dentsply Bioform IPN, Posterior Tooth, EACH | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0125 | Ordering Period 1 442 CHY Denture Teeth, Dentsply Bioform IPN, Posterior Teeth, Set of 8 | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0126 | Ordering Period 1 442 CHY TMJ Hard Splint | Base | 2/1/26 | 1/31/27 | 30.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0127 | Ordering Period 1 442 CHY TMJ Anterior Positioning Splint/Orthotic | Base | 2/1/26 | 1/31/27 | 30.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0128 | Ordering Period 1 442 CHY FlexiSplint Semi-Soft Bruxism Splint | Base | 2/1/26 | 1/31/27 | 30.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0129 | Ordering Period 1 442 CHY Hybrid Splint Hard/Soft | Base | 2/1/26 | 1/31/27 | 30.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0130 | Ordering Period 1 442 CHY Mandibular Advancement Device, OSA, DreamTAP | Base | 2/1/26 | 1/31/27 | 0.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0131 | Ordering Period 1 442 CHY Mandibular Advancement Device, OSA, DreamTAP-PAP | Base | 2/1/26 | 1/31/27 | 0.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0132 | Ordering Period 1 442 CHY Porcelain-Fused-to-High Noble Implant Crown, Screw- Retained *Alloy billed separately, \/A provides cast-to abutment | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0133 | Ordering Period 1 442 CHY Porcelain-Fused-to-Noble Implant Crown, Screw-Retained "Alloy billed separately, *"VA provides cast-to abutment | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0134 | Ordering Period 1 442 CHY Gold Implant Crown, High Noble, Screw-Retained *Alloy billed separately, -VA provides cast-to abutment | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0135 | Ordering Period 1 442 CHY Gold Implant Crown, Noble, Screw-Retained *Alloy billed separately, *"VA provides cast-to abutment | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0136 | Ordering Period 1 442 CHY Zirconia Implant Crown, Full Contour, Screw Retained, Procera, with screw | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0137 | Ordering Period 1 442 CHY Porcelain-Fused-to-Zirconia Implant Crown, Screw Retained *CAD/CAM Zirconia Abutment billed separately | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0138 | Ordering Period 1 442 CHY Porcelain-Fused-to-High Noble Implant Crown, Cement- Retained *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0139 | Ordering Period 1 442 CHY Porcelain-Fused-to-Noble Implant Crown, Cement-Retained *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0140 | Ordering Period 1 442 CHY Gold Implant Crown, High Noble, Cement-Retained *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0141 | Ordering Period 1 442 CHY Gold Implant Crown, Noble, Cement-Retained *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0142 | Ordering Period 1 442 CHY Zirconia Implant Crown, Cement-Retained | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0143 | Ordering Period 1 442 CHY Zirconia w/ Layered Porcelain Implant Crown, Cement- Retained | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0144 | Ordering Period 1 442 CHY Stock Abutment Modification "VA provides stock abutment *covers labor to modify a prefabricated implant abutment prior to crown fabrication. For instance, preparation of a prepable abutment, modifying the finish line, reducing abutment height. *covers labor to modify a prefabricated implant abutment prior to crown fabrication. For instance, preparation of a prepable abutment, modifying the finish line, reducing abutment height. | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0145 | Ordering Period 1 442 CHY Custom Cast Abutment, High Noble *Alloy billed separately, **VA provides cast-to abutment. The fabrication of a custom abutment using an UCLA-style castable abutment. The castable abutment is provided by the VA and the Contractor would fabricate the design, cast, and finish the abutment | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0146 | Ordering Period 1 442 CHY Custom Cast Abutment, Noble *Alloy billed separately, **VA provides cast-to abutment. The fabrication of a custom abutment using an UCLA-style castable abutment. The castable abutment is provided by the VA and the Contractor would fabricate the design, cast, and finish the abutment | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0147 | Ordering Period 1 442 CHY Custom CAD/CAM Abutment, Straumann, Titanium with Screw | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0148 | Ordering Period 1 442 CHY Custom CAD/CAM Abutment, Straumann, Zirconia with Screw | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0149 | Ordering Period 1 442 CHY Custom CAD/CAM Abutment, Procera, Titanium with Screw | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0150 | Ordering Period 1 442 CHY Custom CAD/CAM Abutment, Procera, Zirconia with Screw | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0151 | Ordering Period 1 442 CHY Custom CAD/CAM Abutment, Atlantis, Titanium with Screw | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0152 | Ordering Period 1 442 CHY Custom CAD/CAM Abutment, Atlantis, Zirconia with Screw | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0153 | Ordering Period 1 442 CHY Custom CAD/CAM Abutment, BellaTek, Titanium with Screw | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0154 | Ordering Period 1 442 CHY Custom CAD/CAM Abutment, BellaTek, Zirconia with Screw | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0155 | Ordering Period 1 442 CHY Custom CAD/CAM Abutment, BellaTek with Encode Abutment, Titanium with Screw | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0156 | Ordering Period 1 442 CHY Custom CAD/CAM Abutment, BellaTek with Encode Abutment, Zirconia with Screw | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0157 | Ordering Period 1 442 CHY Fixed Detachable Hybrid Denture, Custom CAD/CAM Implant Connecting Bar (includes silicoatlng if needed) *the cost of the implant connecting bar/hybrid framework only. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0158 | Ordering Period 1 442 CHY Fixed Detachable Hybrid Denture, Set-up for Try-in * the cost to set denture teeth. Teeth billed separately or may be provided by VA.. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0159 | Ordering Period 1 442 CHY Fixed Detachable Hybrid Denture, Process and Finish (Processed with Lucitone 199 per Rx) *the cost of processing only | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0160 | Ordering Period 1 442 CHY Fixed Detachable Zirconia Bridge, Custom CAD/CAM Zirconia Framework/Structure (for use in full-arch restorations or when soft and hard tissue are being restored in a multi-unit FOP) *the cost of the entire prosthesis, there is not a separate bar for this prosthetic design | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0161 | Ordering Period 1 442 CHY Bar Supported Overdenture, Custom CAD/CAM Implant Connecting Bar "'VA provides prosthetic attachments *cost of the implant connecting bar | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0162 | Ordering Period 1 442 CHY Bar Supported Overdenture, Wironium Super Structure Framework *the cost of the superstructure (if required) cast to fit intimately with the bar and is processed into the removable prosthesis | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0163 | Ordering Period 1 442 CHY Bar Supported Overdenture, Set-up for Try-in "Teeth billed separately or may be provided by VA. *the cost to set denture teeth | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0164 | Ordering Period 1 442 CHY Bar Supported Overdenture, Process and Finish (Processed with Lucitone 199 per Rx) *the cost to process | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0165 | Ordering Period 1 442 CHY Implant Retained Overdenture, Wironium Internal/External Framework *different internal/external frameworks to be used with a tissue supported, implant retained prosthesis – this prosthetic design does not incorporate an implant connecting bar. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0166 | Ordering Period 1 442 CHY Implant Retained Overdenture, Cast Mesh Reinforcement *different internal/external frameworks to be used with a tissue supported, implant retained prosthesis – this prosthetic design does not incorporate an implant connecting bar. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0167 | Ordering Period 1 442 CHY Implant Retained Overdenture, Set-up for Try-in "Teeth billed separately or may be provided by VA. *the cost to set denture teeth for a tissue supported, implant retained prosthesis.” | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0168 | Ordering Period 1 442 CHY Implant Retained Overdenture, Process and Finish (Processed with Lucitone 199 per Rx) *the cost of processing only for a tissue supported, implant retained prosthesis.” | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0169 | Ordering Period 1 442 CHY Implant Attachment Pick-up by Laboratory, per attachment "'VA provides prosthetic attachment *pick-up for attachment housings during a denture processing or lab reline. The attachment analog and housing are provided by the VA. | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0170 | Ordering Period 1 442 CHY Surgical Stent with Guide Holes (Diagnostic Wax-up billed separately) | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0171 | Ordering Period 1 442 CHY Surgical Stent with Barium Coating (Diagnostic Wax-up billed separately) | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0172 | Ordering Period 1 442 CHY Implant Custom Tray | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0173 | Ordering Period 1 442 CHY Implant Model Service with Soft Tissue Insert "VA provides implant/abutment analog | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0174 | Ordering Period 1 442 CHY Implant Model Service from Stage One Surgery *VA provides implant/abutment analog | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0175 | Ordering Period 1 442 CHY Abutment Position Verification Jig | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0176 | Ordering Period 1 442 CHY Articulation (for simple hinge articulators) | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0177 | Ordering Period 1 442 CHY Articulation (for semi-adjustable articulators) | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0178 | Ordering Period 1 442 CHY Abutment Placement Jig | Base | 2/1/26 | 1/31/27 | 20.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0179 | Ordering Period 1 442 CHY Diagnostic Wax-up | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0180 | Ordering Period 1 442 CHY Duplicate Model Service | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0181 | Ordering Period 1 442 CHY Radica Implant Crown, Screw Retained (Diagnostic Wax-up billed separeately) "'VA provides temporary abutment | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0182 | Ordering Period 1 442 CHY Implant Torch Wrench Kit (per usage) | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0183 | Ordering Period 1 442 CHY Alloy Estimate for High Noble Gold Implant Crowns *Changes with Gold Market | Base | 2/1/26 | 1/31/27 | 200.00 | Gram | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0184 | Ordering Period 1 442 CHY Alloy Estimate for Noble Gold Implant Crowns *Changes with Gold Market | Base | 2/1/26 | 1/31/27 | 200.00 | Gram | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0185 | Ordering Period 1 442 CHY Alloy Estimate for High Noble PFM Implant Crowns *Changes with Gold Market | Base | 2/1/26 | 1/31/27 | 200.00 | Gram | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0186 | Ordering Period 1 442 CHY Alloy Estimate for Noble PFM Implant Crowns *Changes with Gold Market | Base | 2/1/26 | 1/31/27 | 200.00 | Gram | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0187 | Ordering Period 1 554 ECHCS Full Cast Crown/Pontic, High Noble Alloy *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 250.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0188 | Ordering Period 1 554 ECHCSCast lnlay/Onlay/Multi-Surface, High Noble Alloy *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0189 | Ordering Period 1 554 ECHCSFull Cast Crown/Pontic, Noble Alloy *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0190 | Ordering Period 1 554 ECHCSCast lnlay/Onlay/Multi-Surface, Noble Alloy *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0191 | Ordering Period 1 554 ECHCSPorcelain-Fused-to-High Noble Crown/Pontic *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 550.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0192 | Ordering Period 1 554 ECHCSPorcelain-Fused-to-Noble Crown/Pontic *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0193 | Ordering Period 1 554 ECHCSFull Contour Zirconia Crown/Pontic | Base | 2/1/26 | 1/31/27 | 250.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0194 | Ordering Period 1 554 ECHCSZirconia w/ Layered Porcelain Crown/Pontic | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0195 | Ordering Period 1 554 ECHCSPorcelain-Fused-to-Alumina Crown/Pontic | Base | 2/1/26 | 1/31/27 | 0.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0196 | Ordering Period 1 554 ECHCSLithium Disilicate Pressed Crown/Pontic | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0197 | Ordering Period 1 554 ECHCSLithium Disilicate Pressed w/ Layered Porcelain Crown/Pontic | Base | 2/1/26 | 1/31/27 | 10.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0198 | Ordering Period 1 554 ECHCSLithium Disilicate Pressed lnlay/Onlay | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0199 | Ordering Period 1 554 ECHCSLeucite Glass-Ceramic Pressed Crown | Base | 2/1/26 | 1/31/27 | 0.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0200 | Ordering Period 1 554 ECHCSLeucite Glass-Ceramic Pressed lnlay/Onlay | Base | 2/1/26 | 1/31/27 | 0.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0201 | Ordering Period 1 554 ECHCS[Layered Composite Services] Ceramage Crown/Pontic | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0202 | Ordering Period 1 554 ECHCS[Layered Composite Services] Ceramage lnlay/Onlay | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0203 | Ordering Period 1 554 ECHCS[Layered Composite Services] Ceramage FibreKor Maryland Bridge {includes one pontic) | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0204 | Ordering Period 1 554 ECHCS[Layered Composite Services] Radica Crown/Pontic | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0205 | Ordering Period 1 554 ECHCS[Layered Composite Services] Radica lnlay/Onlay | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0206 | Ordering Period 1 554 ECHCSLayered Porcelain Veneer-Feldspathic (refractory technique) | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0207 | Ordering Period 1 554 ECHCS[Maryland Bridge] Pontic (includes one model and die) | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0208 | Ordering Period 1 554 ECHCS[Maryland Bridge] Wing (includes one model and die) | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0209 | Ordering Period 1 554 ECHCSProvisional Temporary Crown/Pontic (Diagnostic Wax-up billed separately) | Base | 2/1/26 | 1/31/27 | 40.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0210 | Ordering Period 1 554 ECHCSCustom Tray | Base | 2/1/26 | 1/31/27 | 350.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0211 | Ordering Period 1 554 ECHCSDiagnostic Wax-up | Base | 2/1/26 | 1/31/27 | 540.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0212 | Ordering Period 1 554 ECHCSProvisional Stent | Base | 2/1/26 | 1/31/27 | 350.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0213 | Ordering Period 1 554 ECHCSModel Service | Base | 2/1/26 | 1/31/27 | 1,100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0214 | Ordering Period 1 554 ECHCSEpoxy Model Service | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0215 | Ordering Period 1 554 ECHCSDie Service | Base | 2/1/26 | 1/31/27 | 550.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0216 | Ordering Period 1 554 ECHCSDuplicate Model Service | Base | 2/1/26 | 1/31/27 | 175.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0217 | Ordering Period 1 554 ECHCSArticulation (for simple hinge articulators) | Base | 2/1/26 | 1/31/27 | 775.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0218 | Ordering Period 1 554 ECHCSArticulation (for semi-adjustable articulators) | Base | 2/1/26 | 1/31/27 | 275.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0219 | Ordering Period 1 554 ECHCSArticulation with Face Bow (for semi-adjustable articulators) | Base | 2/1/26 | 1/31/27 | 50.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0220 | Ordering Period 1 554 ECHCSPorcelain Shoulder | Base | 2/1/26 | 1/31/27 | 150.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0221 | Ordering Period 1 554 ECHCSMetal Occlusal | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0222 | Ordering Period 1 554 ECHCSDesign Crown for Partial | Base | 2/1/26 | 1/31/27 | 100.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0223 | Ordering Period 1 554 ECHCSFit to Existing Partial | Base | 2/1/26 | 1/31/27 | 5.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0224 | Ordering Period 1 554 ECHCSBridge Connector | Base | 2/1/26 | 1/31/27 | 325.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0225 | Ordering Period 1 554 ECHCSStress Breaker | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0226 | Ordering Period 1 554 ECHCSCustom Shade (Includes two appointment process) | Base | 2/1/26 | 1/31/27 | 0.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0227 | Ordering Period 1 554 ECHCSRush Fee (per unit) | Base | 2/1/26 | 1/31/27 | 5.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0228 | Ordering Period 1 554 ECHCSCast Post & Core *Alloy billed separately | Base | 2/1/26 | 1/31/27 | 12.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0229 | Ordering Period 1 554 ECHCSLaser Weld FDP Framework | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies | |||||||
| 0230 | Ordering Period 1 554 ECHCSSolder FDP Framework | Base | 2/1/26 | 1/31/27 | 1.00 | Each | 339116 - Dental Laboratories | 6520 - Dental Instruments, Equipment, and Supplies |
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