D1 Individual Price Schedule - 36C26023Q0358 (Amended).xlsx
XLSX spreadsheet 26 KB Posted
- Attached to
- Portland VA Dental Prosthetics
- Solicitation number
- 36C26023Q0358
About this file
This is an individual price schedule for dental prosthetics from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20. It lists 138 estimated quantities of dental items and services required by the VA Portland Health Care System, including full cast crowns, flippers, dentures, implant abutments, and zirconia crowns. Pricing is requested for each item under five contract line item numbers to establish total estimated prices. The solicitation number is listed as 36C26023Q0358 for Dental Prosthetics for the VA Portland Health Care System and its jurisdiction.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26023Q0358 0001.docx | DOCX document | |
| 36C26023Q0358.docx | DOCX document | |
| D2 Dental Lab QASP - 36C26023Q0358.docx | DOCX document | |
| D1 Individual Price Schedule - 36C26023Q0358.xlsx | XLSX spreadsheet |
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PORTLAND
| D.1 INDIVIDUAL ITEM PRICING SCHEDULE & ESTIMATED QUANTITIES | |||||||||||||
| PORTLAND | |||||||||||||
| Item No. | Description | Estimated Quantities | Unit | CLIN 0001 Unit Price | CLIN 0001 Est. Total Price | CLIN 1001 Unit Price | CLIN 1001 Est. Total Price | CLIN 2001 Unit Price | CLIN 2001 Est. Total Price | CLIN 3001 Unit Price | CLIN 3001 Est. Total Price | CLIN 4001 Unit Price | CLIN 4001 Est. Total Price |
| 1 | 1st Gasket | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 2 | Acrylic Implant Stent | 6 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 3 | Add L Tooth | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 4 | Addl Gasket | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 5 | ADJUST CROWN (S)=PFM | 3 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 6 | Adjust Crown(s) = All Ceramic | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 7 | Adjust Implant Cr/Br (PFM) | 3 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 8 | Adjust Implant Cr/Br (Zirc) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 9 | AM Aligner | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 10 | ARGENCO 58 | 91 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 11 | Artic 1x1 Ant | 35 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 12 | Artic 1x1 Post | 65 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 13 | Artic 1x6 Ant | 6 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 14 | Artic 1x8 Post | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 15 | Atlantis Milled Abutment | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 16 | Au40Y | 111 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 17 | Base Plate & Wax-rim | 301 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 18 | Essix Retainer / Splint | 13 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 19 | C & B Temporary Splint | 13 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 20 | Cast clasp / weld | 9 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 21 | Claspless Frame | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 22 | Crown Under Clasp | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 23 | Custom Shade Selection | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 24 | Dentsply 3D Teeth 1x1 Post | 16 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 25 | Dentsply 3D Teeth 1x6 Ant | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 26 | Diagnos Wax-up | 110 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 27 | Die Trim | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 28 | Digital Bruxguard (ADB) | 244 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 29 | Digital Denture | 3 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 30 | Digital Immediate Denture | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 31 | Digital Mandibular Frame | 38 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 32 | Digital Maxillary Frame | 19 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 33 | Digital Set-up & Wax Denture | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 34 | Duraflex | 284 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 35 | Duraflex Repair | 19 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 36 | Duraflex Try-In | 56 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 37 | Duralay Coping | 19 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 38 | e.max Basic Anterior | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 39 | e.max Basic Posterior | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 40 | e.max Inlay/Onlay | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 41 | e.max Layered | 13 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 42 | e.max Veneer | 3 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 43 | Eclipse Heat & Seat | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 44 | EMA BANDS | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 45 | Ema Sleep Apnea Appliance | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 46 | Fin & Adj From Dr S Wax | 37 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 47 | Flexil Denture | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 48 | Flipper 1 tooth | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 49 | Flipper 2-3 Teeth | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 50 | Flipper 4-6 Teeth | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 51 | Flipper 7-8 Teeth | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 52 | Flipper with Wire 1 Tooth | 9 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 53 | Flipper with Wire 11-12 Teeth | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 54 | Flipper with Wire 2-3 Teeth | 9 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 55 | Flipper with Wire 4-6 Teeth | 15 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 56 | Flipper with Wire 7-8 Teeth | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 57 | Flipper with Wire 9-10 Teeth | 3 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 58 | Fluoride Stent / Tray | 8 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 58 | Full Cast Bridge | 22 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 59 | Full Cast Crown | 94 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 60 | Full Gold Implant Crown | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 61 | High Noble White Alloy | 190 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 62 | High Noble Yellow Alloy | 73 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 63 | Immediate Set And Finish | 36 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 64 | Implant Abutment | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 65 | Implant Body Analog | 21 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 66 | Implant Denture | 9 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 67 | Impression Tray | 107 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 68 | In-House Custom Abutment | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 69 | Large Repair | 38 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 70 | Laser Weld | 12 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 71 | Laser Weld Denture | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 72 | Lava Plus Full Contour | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 73 | Layered Z360 Implant Crown | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 74 | Layered Zirconia Bridge | 47 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 75 | Layered Zirconia Crown | 93 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 76 | Locator processing package | 24 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 77 | Milled Bar | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 78 | Milled Occlusal Guard | 18 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 79 | Mondial 1X1 | 1556 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 80 | Mondial 1X6 | 272 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 81 | Mondial 1X8 | 243 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 82 | Mondial I 1X1 | 6 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 83 | NG360 | 92 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 84 | Noble White Alloy | 83 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 85 | Noble Yellow Alloy | 51 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 86 | Onlay - High noble | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 87 | Onlay - E.max | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 88 | O RINGs | 6 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 89 | PFM Implant Bridge | 3 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 90 | PFM Implant Crown | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 91 | PFM Screw Retained Bridge | 3 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 92 | PFM Screw Retained Crown | 21 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 93 | PMMA | 43 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 94 | Porcelain Margin(s) | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 95 | Porcelain To Metal Crown | 120 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 96 | Porc-to-Metal Bridge | 78 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 97 | Portrait 1x1 Ant | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 98 | Portrait 1x8 Post | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 99 | Proform Mouthguard | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 100 | Putty Matrix | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 101 | Radiographic Stent | 46 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 102 | REDUCTION GUIDE | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 103 | Reline & Add Tooth | 6 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 104 | Reline & Repair Break | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 105 | Reline Denture | 86 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 106 | Repair Major | 25 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 107 | Repair Minor | 13 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 108 | Reset Denture | 21 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 109 | Same Day Reline | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 110 | Same Day Repair | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 111 | Set & Finish Denture | 232 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 112 | Set & Finish Partial | 40 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 113 | Set-up & Wax Denture | 406 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 114 | Set-up & Wax Denture DIGITAL | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 115 | Soft Reline | 13 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 116 | Softliner, Extra | 15 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 117 | Strauman Abutment | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 118 | Translucent Zirconia crown | 28 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 119 | Survey & Place Rests | 13 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 120 | Survey/Place Chevron | 12 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 121 | Swinglock Frame | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 122 | Tap Appliance | 85 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 123 | Temporary Abutment | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 124 | Temporary Implant Crown | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 125 | Thermoflex Clasp | 17 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 126 | Thermoflex Frame | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 127 | Verification Jig | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 128 | Visiclear/Duraflex Clasp | 8 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 129 | Wax-rim On Partial Frame | 39 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 130 | Winged Retainer | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 131 | Wire Clasp | 19 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 132 | Wire Mesh | 3 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 133 | Wrought Wire Clasp, Each | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 134 | Monolithic Zirconia Anterior crown | 25 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 135 | Monolithic Zirconia Anterior FDP | 21 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 136 | Monolithic Zirconia posterior FDP | 81 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 137 | Monolithic Zirconia Implant Crown | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 138 | Monolithic Zirconia Zirconia Crown | 210 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL | CLIN 0001 | CLIN 1001 | CLIN 2001 | CLIN 3001 | CLIN 4001 |
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
File details come from the government source that posted it. Updated .