Attachment 1 - Quote Sheet.xlsx

XLSX spreadsheet 472 KB Posted

Attached to
6520--RFQ Follow-on VA SAC National Dental Laboratory Products & Services
Solicitation number
36C10G23Q0005
Issued by

About this file

This document is a request for quotations (RFQ) for dental laboratory products and services under a follow-on multiple award indefinite delivery indefinite quantity contract with the Department of Veterans Affairs. The solicitation seeks quotations for items such as crowns, bridges, dentures, and implants prosthetics to be provided over a one year base period and four one-year options. Prospective offerors may submit questions by May 5th and must submit quotations by May 22nd. Awards are anticipated to support the VA SAC National Dental Laboratory.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
RFQ36C10G23Q0005RFQ | FOLLOW-ON VA NATIONAL DENTAL LABORATORY PRODUCTS & SERVICESPercent0

KB Version: FY23.02A

Items

Item NumberSLINDescriptionRef CLINCommentInclude Comments in DocumentContract PeriodPop BeginPop EndQuantityUnit of MeasurePackaging MultipleReceipt TypeLine Item IsUnit PriceItem Discount Type NameItem DiscountDate UpdatedAddress1Address2Address3CityStateZipZip4CountryMark ForContact NameContact PhoneContact EmailDelivery DateFOBSpecial InstructionsInclude Instructions/Comments in DocumentPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/NON-EXPENDABLEQUANTITY REQUESTEDUNIT OF PURCHASE CODEUNIT OF PURCHASE TEXT/DESC.
0001PFM Crown (Noble Alloy)CROWN AND BRIDGE METAL BASEDBase08/16/2308/15/241EA18/15/2024Destination33911665200001
0002PFM Crowns (High Noble Alloy)CROWN AND BRIDGE METAL BASEDBase08/16/2308/15/241EA18/15/2024Destination33911665200002
0003PFM FPD (Bridge units - Retainer and pontics) (Noble Alloy)CROWN AND BRIDGE METAL BASEDBase08/16/2308/15/241EA18/15/2024Destination33911665200003
0004PFM FPD (Bridge units - Retainer and pontics) (High Noble Alloy)CROWN AND BRIDGE METAL BASEDBase08/16/2308/15/241EA18/15/2024Destination33911665200004
0005Porcelain Application OnlyCROWN AND BRIDGE METAL BASEDBase08/16/2308/15/241EA18/15/2024Destination33911665200005
0006Full Metal Crowns (Noble Alloy)CROWN AND BRIDGE METAL BASEDBase08/16/2308/15/241EA18/15/2024Destination33911665200006
0007Full Metal Crowns (High Noble Alloy)CROWN AND BRIDGE METAL BASEDBase08/16/2308/15/241EA18/15/2024Destination33911665200007
0008Full Metal FPD (bridge units) (Noble Alloy)CROWN AND BRIDGE METAL BASEDBase08/16/2308/15/241EA18/15/2024Destination33911665200008
0009Full Metal FPD (bridge units) (High Noble Alloy)CROWN AND BRIDGE METAL BASEDBase08/16/2308/15/241EA18/15/2024Destination33911665200009
0010Resin-bonded bridges (Maryland Bridge) (Ceramic)CROWN AND BRIDGE METAL BASEDBase08/16/2308/15/241EA18/15/2024Destination33911665200010
0011Resin-bonded bridges (Maryland Bridge) (Metal Ceramic)CROWN AND BRIDGE METAL BASEDBase08/16/2308/15/241EA18/15/2024Destination33911665200011
0012Porcelain Laminate VeneerCROWN AND BRIDGE METAL FREEBase08/16/2308/15/241EA18/15/2024Destination33911665200012
0013All-Ceramic inlay-Onlay-3/4 CrownCROWN AND BRIDGE METAL FREEBase08/16/2308/15/241EA18/15/2024Destination33911665200013
0014Pressed Lithium Disilicate/Silicate Crown/Full ContourCROWN AND BRIDGE METAL FREEBase08/16/2308/15/241EA18/15/2024Destination33911665200014
0015Pressed Lithium Disilicate/Silicate Crown/LayeredCROWN AND BRIDGE METAL FREEBase08/16/2308/15/241EA18/15/2024Destination33911665200015
0016Milled Lithium Disilicate/Silicate Crown/Full ContourCROWN AND BRIDGE METAL FREEBase08/16/2308/15/241EA18/15/2024Destination33911665200016
0017Milled Lithium Disilicate/Silicate Crown/LayeredCROWN AND BRIDGE METAL FREEBase08/16/2308/15/241EA18/15/2024Destination33911665200017
0018Porcelain-to-Zirconia Layered CrownCROWN AND BRIDGE METAL FREEBase08/16/2308/15/241EA18/15/2024Destination33911665200018
0019Monolithic Zirconia CrownCROWN AND BRIDGE METAL FREEBase08/16/2308/15/241EA18/15/2024Destination33911665200019
0020Metal-free 3-unit bridge w/Zirconia UnderstructureCROWN AND BRIDGE METAL FREEBase08/16/2308/15/241EA18/15/2024Destination33911665200020
0021Processed Acrylic Provisional Restoration (Per Unit)CROWN AND BRIDGE OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200021
0022Milled Provisional Restoration (Per Unit)CROWN AND BRIDGE OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200022
00233D-Printed Provisional Restoration (Per Unit)CROWN AND BRIDGE OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200023
00243D-Printed Model from Intraoral Scan (Per Arch)CROWN AND BRIDGE OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200024
0025Diagnostic Wax-up (Per tooth)CROWN AND BRIDGE OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200025
0026Cast Post and CoreCROWN AND BRIDGE OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200026
0027Special Ceramics Addition (Pink Porcelain)CROWN AND BRIDGE OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200027
0028Cement-retained PFM CrownIMPLANTS PROSTHETICS (Single Unit)Base08/16/2308/15/241EA18/15/2024Destination33911665200028
0029Cement-retained Metal CrownIMPLANTS PROSTHETICS (Single Unit)Base08/16/2308/15/241EA18/15/2024Destination33911665200029
0030Cement-retained Zirconia CrownIMPLANTS PROSTHETICS (Single Unit)Base08/16/2308/15/241EA18/15/2024Destination33911665200030
0031Cement-retained Lithium Disilicate/Silicate CrownIMPLANTS PROSTHETICS (Single Unit)Base08/16/2308/15/241EA18/15/2024Destination33911665200031
0032Screw-retained PFM CrownIMPLANTS PROSTHETICS (Single Unit)Base08/16/2308/15/241EA18/15/2024Destination33911665200032
0033Screw-retained Metal CrownIMPLANTS PROSTHETICS (Single Unit)Base08/16/2308/15/241EA18/15/2024Destination33911665200033
0034Screw-retained Zirconia CrownIMPLANTS PROSTHETICS (Single Unit)Base08/16/2308/15/241EA18/15/2024Destination33911665200034
0035Screw-retained Lithium Disilicate/Silicate CrownIMPLANTS PROSTHETICS (Single Unit)Base08/16/2308/15/241EA18/15/2024Destination33911665200035
0036Titanium CAD/CAM abutment (OEM)IMPLANTS PROSTHETICS (Abutments)Base08/16/2308/15/241EA18/15/2024Destination33911665200036
0037Titanium CAD/CAM abutment (Aftermarket)IMPLANTS PROSTHETICS (Abutments)Base08/16/2308/15/241EA18/15/2024Destination33911665200037
0038Zirconia CAD/CAM abutment (OEM)IMPLANTS PROSTHETICS (Abutments)Base08/16/2308/15/241EA18/15/2024Destination33911665200038
0039Zirconia CAD/CAM abutment (Aftermarket)IMPLANTS PROSTHETICS (Abutments)Base08/16/2308/15/241EA18/15/2024Destination33911665200039
0040Custom AbutmentIMPLANTS PROSTHETICS (Abutments)Base08/16/2308/15/241EA18/15/2024Destination33911665200040
0041Ti Base abutment (OEM)IMPLANTS PROSTHETICS (Abutments)Base08/16/2308/15/241EA18/15/2024Destination33911665200041
0042Ti Base abutment (Aftermarket)IMPLANTS PROSTHETICS (Abutments)Base08/16/2308/15/241EA18/15/2024Destination33911665200042
0043All on 4, Fixed Hybrid DentureIMPLANTS PROSTHETICS (Abutments)Base08/16/2308/15/241EA18/15/2024Destination33911665200043
0044Full arch removable overdenture, titanium bar with attachmentsIMPLANTS PROSTHETICS (Abutments)Base08/16/2308/15/241EA18/15/2024Destination33911665200044
0045Titanium BarIMPLANTS PROSTHETICS (Abutments)Base08/16/2308/15/241EA18/15/2024Destination33911665200045
0046Complete Denture Setup (Premium Teeth / IPN Equivalent)REMOVABLE PROSTHETICSBase08/16/2308/15/241EA18/15/2024Destination33911665200046
0047Complete Denture Process and Finish (Packing Technique)REMOVABLE PROSTHETICSBase08/16/2308/15/241EA18/15/2024Destination33911665200047
0048Complete Denture Process and Finish (Injection Technique)REMOVABLE PROSTHETICSBase08/16/2308/15/241EA18/15/2024Destination33911665200048
0049Complete Denture CAD-CAM MilledREMOVABLE PROSTHETICSBase08/16/2308/15/241EA18/15/2024Destination33911665200049
0050Complete Denture 3D PrintedREMOVABLE PROSTHETICSBase08/16/2308/15/241EA18/15/2024Destination33911665200050
0051RebaseREMOVABLE PROSTHETICSBase08/16/2308/15/241EA18/15/2024Destination33911665200051
0052RelineREMOVABLE PROSTHETICSBase08/16/2308/15/241EA18/15/2024Destination33911665200052
0053Repair add ToothREMOVABLE PROSTHETICSBase08/16/2308/15/241EA18/15/2024Destination33911665200053
0054Repair Simple FractureREMOVABLE PROSTHETICSBase08/16/2308/15/241EA18/15/2024Destination33911665200054
0055Repair Complex FractureREMOVABLE PROSTHETICSBase08/16/2308/15/241EA18/15/2024Destination33911665200055
0056Custom TrayREMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200056
0057ModelREMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200057
0058Model 3D PrintedREMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200058
0059Bite BlocksREMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200059
0060Nightguard Hard Heat CuredREMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200060
0061Nightguard Vacuum-formedREMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200061
0062Nightguard Dual-laminateREMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200062
0063Nightguard TalonREMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200063
0064Nightguard 3D PrintedREMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200064
0065Nightguard 3D MilledREMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200065
0066Surgical StentREMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200066
0067Additional Clasp Wire Surcharge (Each)REMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200067
0068Additional Clasp Clear/Tooth Surcharge (Each)REMOVABLE PROSTHETICS OTHERBase08/16/2308/15/241EA18/15/2024Destination33911665200068
0069Framework CastPARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200069
0070Framework CAD/CASTPARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200070
0071Framework CAD/Laser-Sintered/SLMPARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200071
0072Framework Milled Polymer Tooth ShadePARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200072
0073Framework Milled Polymer Clear ShadePARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200073
0074Reline Partial DenturePARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200074
0075Acrylic Transitional Partial Denture w/ 2 ClaspsPARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200075
0076Acrylic Transitional Partial Denture from SetupPARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200076
0077Partial Denture Setup (Premium Teeth / IPN Equivalent)PARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200077
0078Partial Denture Setup and Process (Premium Teeth / IPN Equivalent)PARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200078
0079Partial Denture Process & FinishPARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200079
0080Flexible Partial Denture Setup (Premium Teeth / IPN Equivalent)PARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200080
0081Flexible Partial Denture Setup and Process (Premium Teeth / IPN Equivalent)PARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200081
0082Flexible Partial Denture Process & FinishPARTIAL DENTURESBase08/16/2308/15/241EA18/15/2024Destination33911665200082
1001PFM Crown (Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 108/16/2408/15/251EA18/15/2025Destination33911665201001
1002PFM Crowns (High Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 108/16/2408/15/251EA18/15/2025Destination33911665201002
1003PFM FPD (Bridge units - Retainer and pontics) (Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 108/16/2408/15/251EA18/15/2025Destination33911665201003
1004PFM FPD (Bridge units - Retainer and pontics) (High Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 108/16/2408/15/251EA18/15/2025Destination33911665201004
1005Porcelain Application OnlyCROWN AND BRIDGE METAL BASEDOption 108/16/2408/15/251EA18/15/2025Destination33911665201005
1006Full Metal Crowns (Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 108/16/2408/15/251EA18/15/2025Destination33911665201006
1007Full Metal Crowns (High Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 108/16/2408/15/251EA18/15/2025Destination33911665201007
1008Full Metal FPD (bridge units) (Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 108/16/2408/15/251EA18/15/2025Destination33911665201008
1009Full Metal FPD (bridge units) (High Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 108/16/2408/15/251EA18/15/2025Destination33911665201009
1010Resin-bonded bridges (Maryland Bridge) (Ceramic)CROWN AND BRIDGE METAL BASEDOption 108/16/2408/15/251EA18/15/2025Destination33911665201010
1011Resin-bonded bridges (Maryland Bridge) (Metal Ceramic)CROWN AND BRIDGE METAL BASEDOption 108/16/2408/15/251EA18/15/2025Destination33911665201011
1012Porcelain Laminate VeneerCROWN AND BRIDGE METAL FREEOption 108/16/2408/15/251EA18/15/2025Destination33911665201012
1013All-Ceramic inlay-Onlay-3/4 CrownCROWN AND BRIDGE METAL FREEOption 108/16/2408/15/251EA18/15/2025Destination33911665201013
1014Pressed Lithium Disilicate/Silicate Crown/Full ContourCROWN AND BRIDGE METAL FREEOption 108/16/2408/15/251EA18/15/2025Destination33911665201014
1015Pressed Lithium Disilicate/Silicate Crown/LayeredCROWN AND BRIDGE METAL FREEOption 108/16/2408/15/251EA18/15/2025Destination33911665201015
1016Milled Lithium Disilicate/Silicate Crown/Full ContourCROWN AND BRIDGE METAL FREEOption 108/16/2408/15/251EA18/15/2025Destination33911665201016
1017Milled Lithium Disilicate/Silicate Crown/LayeredCROWN AND BRIDGE METAL FREEOption 108/16/2408/15/251EA18/15/2025Destination33911665201017
1018Porcelain-to-Zirconia Layered CrownCROWN AND BRIDGE METAL FREEOption 108/16/2408/15/251EA18/15/2025Destination33911665201018
1019Monolithic Zirconia CrownCROWN AND BRIDGE METAL FREEOption 108/16/2408/15/251EA18/15/2025Destination33911665201019
1020Metal-free 3-unit bridge w/Zirconia UnderstructureCROWN AND BRIDGE METAL FREEOption 108/16/2408/15/251EA18/15/2025Destination33911665201020
1021Processed Acrylic Provisional Restoration (Per Unit)CROWN AND BRIDGE OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201021
1022Milled Provisional Restoration (Per Unit)CROWN AND BRIDGE OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201022
10233D-Printed Provisional Restoration (Per Unit)CROWN AND BRIDGE OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201023
10243D-Printed Model from Intraoral Scan (Per Arch)CROWN AND BRIDGE OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201024
1025Diagnostic Wax-up (Per tooth)CROWN AND BRIDGE OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201025
1026Cast Post and CoreCROWN AND BRIDGE OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201026
1027Special Ceramics Addition (Pink Porcelain)CROWN AND BRIDGE OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201027
1028Cement-retained PFM CrownIMPLANTS PROSTHETICS (Single Unit)Option 108/16/2408/15/251EA18/15/2025Destination33911665201028
1029Cement-retained Metal CrownIMPLANTS PROSTHETICS (Single Unit)Option 108/16/2408/15/251EA18/15/2025Destination33911665201029
1030Cement-retained Zirconia CrownIMPLANTS PROSTHETICS (Single Unit)Option 108/16/2408/15/251EA18/15/2025Destination33911665201030
1031Cement-retained Lithium Disilicate/Silicate CrownIMPLANTS PROSTHETICS (Single Unit)Option 108/16/2408/15/251EA18/15/2025Destination33911665201031
1032Screw-retained PFM CrownIMPLANTS PROSTHETICS (Single Unit)Option 108/16/2408/15/251EA18/15/2025Destination33911665201032
1033Screw-retained Metal CrownIMPLANTS PROSTHETICS (Single Unit)Option 108/16/2408/15/251EA18/15/2025Destination33911665201033
1034Screw-retained Zirconia CrownIMPLANTS PROSTHETICS (Single Unit)Option 108/16/2408/15/251EA18/15/2025Destination33911665201034
1035Screw-retained Lithium Disilicate/Silicate CrownIMPLANTS PROSTHETICS (Single Unit)Option 108/16/2408/15/251EA18/15/2025Destination33911665201035
1036Titanium CAD/CAM abutment (OEM)IMPLANTS PROSTHETICS (Abutments)Option 108/16/2408/15/251EA18/15/2025Destination33911665201036
1037Titanium CAD/CAM abutment (Aftermarket)IMPLANTS PROSTHETICS (Abutments)Option 108/16/2408/15/251EA18/15/2025Destination33911665201037
1038Zirconia CAD/CAM abutment (OEM)IMPLANTS PROSTHETICS (Abutments)Option 108/16/2408/15/251EA18/15/2025Destination33911665201038
1039Zirconia CAD/CAM abutment (Aftermarket)IMPLANTS PROSTHETICS (Abutments)Option 108/16/2408/15/251EA18/15/2025Destination33911665201039
1040Custom AbutmentIMPLANTS PROSTHETICS (Abutments)Option 108/16/2408/15/251EA18/15/2025Destination33911665201040
1041Ti Base abutment (OEM)IMPLANTS PROSTHETICS (Abutments)Option 108/16/2408/15/251EA18/15/2025Destination33911665201041
1042Ti Base abutment (Aftermarket)IMPLANTS PROSTHETICS (Abutments)Option 108/16/2408/15/251EA18/15/2025Destination33911665201042
1043All on 4, Fixed Hybrid DentureIMPLANTS PROSTHETICS (Abutments)Option 108/16/2408/15/251EA18/15/2025Destination33911665201043
1044Full arch removable overdenture, titanium bar with attachmentsIMPLANTS PROSTHETICS (Abutments)Option 108/16/2408/15/251EA18/15/2025Destination33911665201044
1045Titanium BarIMPLANTS PROSTHETICS (Abutments)Option 108/16/2408/15/251EA18/15/2025Destination33911665201045
1046Complete Denture Setup (Premium Teeth / IPN Equivalent)REMOVABLE PROSTHETICSOption 108/16/2408/15/251EA18/15/2025Destination33911665201046
1047Complete Denture Process and Finish (Packing Technique)REMOVABLE PROSTHETICSOption 108/16/2408/15/251EA18/15/2025Destination33911665201047
1048Complete Denture Process and Finish (Injection Technique)REMOVABLE PROSTHETICSOption 108/16/2408/15/251EA18/15/2025Destination33911665201048
1049Complete Denture CAD-CAM MilledREMOVABLE PROSTHETICSOption 108/16/2408/15/251EA18/15/2025Destination33911665201049
1050Complete Denture 3D PrintedREMOVABLE PROSTHETICSOption 108/16/2408/15/251EA18/15/2025Destination33911665201050
1051RebaseREMOVABLE PROSTHETICSOption 108/16/2408/15/251EA18/15/2025Destination33911665201051
1052RelineREMOVABLE PROSTHETICSOption 108/16/2408/15/251EA18/15/2025Destination33911665201052
1053Repair add ToothREMOVABLE PROSTHETICSOption 108/16/2408/15/251EA18/15/2025Destination33911665201053
1054Repair Simple FractureREMOVABLE PROSTHETICSOption 108/16/2408/15/251EA18/15/2025Destination33911665201054
1055Repair Complex FractureREMOVABLE PROSTHETICSOption 108/16/2408/15/251EA18/15/2025Destination33911665201055
1056Custom TrayREMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201056
1057ModelREMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201057
1058Model 3D PrintedREMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201058
1059Bite BlocksREMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201059
1060Nightguard Hard Heat CuredREMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201060
1061Nightguard Vacuum-formedREMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201061
1062Nightguard Dual-laminateREMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201062
1063Nightguard TalonREMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201063
1064Nightguard 3D PrintedREMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201064
1065Nightguard 3D MilledREMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201065
1066Surgical StentREMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201066
1067Additional Clasp Wire Surcharge (Each)REMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201067
1068Additional Clasp Clear/Tooth Surcharge (Each)REMOVABLE PROSTHETICS OTHEROption 108/16/2408/15/251EA18/15/2025Destination33911665201068
1069Framework CastPARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201069
1070Framework CAD/CASTPARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201070
1071Framework CAD/Laser-Sintered/SLMPARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201071
1072Framework Milled Polymer Tooth ShadePARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201072
1073Framework Milled Polymer Clear ShadePARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201073
1074Reline Partial DenturePARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201074
1075Acrylic Transitional Partial Denture w/ 2 ClaspsPARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201075
1076Acrylic Transitional Partial Denture from SetupPARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201076
1077Partial Denture Setup (Premium Teeth / IPN Equivalent)PARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201077
1078Partial Denture Setup and Process (Premium Teeth / IPN Equivalent)PARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201078
1079Partial Denture Process & FinishPARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201079
1080Flexible Partial Denture Setup (Premium Teeth / IPN Equivalent)PARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201080
1081Flexible Partial Denture Setup and Process (Premium Teeth / IPN Equivalent)PARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201081
1082Flexible Partial Denture Process & FinishPARTIAL DENTURESOption 108/16/2408/15/251EA18/15/2025Destination33911665201082
2001PFM Crown (Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 208/16/2508/15/261EA18/15/2026Destination33911665202001
2002PFM Crowns (High Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 208/16/2508/15/261EA18/15/2026Destination33911665202002
2003PFM FPD (Bridge units - Retainer and pontics) (Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 208/16/2508/15/261EA18/15/2026Destination33911665202003
2004PFM FPD (Bridge units - Retainer and pontics) (High Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 208/16/2508/15/261EA18/15/2026Destination33911665202004
2005Porcelain Application OnlyCROWN AND BRIDGE METAL BASEDOption 208/16/2508/15/261EA18/15/2026Destination33911665202005
2006Full Metal Crowns (Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 208/16/2508/15/261EA18/15/2026Destination33911665202006
2007Full Metal Crowns (High Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 208/16/2508/15/261EA18/15/2026Destination33911665202007
2008Full Metal FPD (bridge units) (Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 208/16/2508/15/261EA18/15/2026Destination33911665202008
2009Full Metal FPD (bridge units) (High Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 208/16/2508/15/261EA18/15/2026Destination33911665202009
2010Resin-bonded bridges (Maryland Bridge) (Ceramic)CROWN AND BRIDGE METAL BASEDOption 208/16/2508/15/261EA18/15/2026Destination33911665202010
2011Resin-bonded bridges (Maryland Bridge) (Metal Ceramic)CROWN AND BRIDGE METAL BASEDOption 208/16/2508/15/261EA18/15/2026Destination33911665202011
2012Porcelain Laminate VeneerCROWN AND BRIDGE METAL FREEOption 208/16/2508/15/261EA18/15/2026Destination33911665202012
2013All-Ceramic inlay-Onlay-3/4 CrownCROWN AND BRIDGE METAL FREEOption 208/16/2508/15/261EA18/15/2026Destination33911665202013
2014Pressed Lithium Disilicate/Silicate Crown/Full ContourCROWN AND BRIDGE METAL FREEOption 208/16/2508/15/261EA18/15/2026Destination33911665202014
2015Pressed Lithium Disilicate/Silicate Crown/LayeredCROWN AND BRIDGE METAL FREEOption 208/16/2508/15/261EA18/15/2026Destination33911665202015
2016Milled Lithium Disilicate/Silicate Crown/Full ContourCROWN AND BRIDGE METAL FREEOption 208/16/2508/15/261EA18/15/2026Destination33911665202016
2017Milled Lithium Disilicate/Silicate Crown/LayeredCROWN AND BRIDGE METAL FREEOption 208/16/2508/15/261EA18/15/2026Destination33911665202017
2018Porcelain-to-Zirconia Layered CrownCROWN AND BRIDGE METAL FREEOption 208/16/2508/15/261EA18/15/2026Destination33911665202018
2019Monolithic Zirconia CrownCROWN AND BRIDGE METAL FREEOption 208/16/2508/15/261EA18/15/2026Destination33911665202019
2020Metal-free 3-unit bridge w/Zirconia UnderstructureCROWN AND BRIDGE METAL FREEOption 208/16/2508/15/261EA18/15/2026Destination33911665202020
2021Processed Acrylic Provisional Restoration (Per Unit)CROWN AND BRIDGE OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202021
2022Milled Provisional Restoration (Per Unit)CROWN AND BRIDGE OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202022
20233D-Printed Provisional Restoration (Per Unit)CROWN AND BRIDGE OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202023
20243D-Printed Model from Intraoral Scan (Per Arch)CROWN AND BRIDGE OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202024
2025Diagnostic Wax-up (Per tooth)CROWN AND BRIDGE OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202025
2026Cast Post and CoreCROWN AND BRIDGE OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202026
2027Special Ceramics Addition (Pink Porcelain)CROWN AND BRIDGE OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202027
2028Cement-retained PFM CrownIMPLANTS PROSTHETICS (Single Unit)Option 208/16/2508/15/261EA18/15/2026Destination33911665202028
2029Cement-retained Metal CrownIMPLANTS PROSTHETICS (Single Unit)Option 208/16/2508/15/261EA18/15/2026Destination33911665202029
2030Cement-retained Zirconia CrownIMPLANTS PROSTHETICS (Single Unit)Option 208/16/2508/15/261EA18/15/2026Destination33911665202030
2031Cement-retained Lithium Disilicate/Silicate CrownIMPLANTS PROSTHETICS (Single Unit)Option 208/16/2508/15/261EA18/15/2026Destination33911665202031
2032Screw-retained PFM CrownIMPLANTS PROSTHETICS (Single Unit)Option 208/16/2508/15/261EA18/15/2026Destination33911665202032
2033Screw-retained Metal CrownIMPLANTS PROSTHETICS (Single Unit)Option 208/16/2508/15/261EA18/15/2026Destination33911665202033
2034Screw-retained Zirconia CrownIMPLANTS PROSTHETICS (Single Unit)Option 208/16/2508/15/261EA18/15/2026Destination33911665202034
2035Screw-retained Lithium Disilicate/Silicate CrownIMPLANTS PROSTHETICS (Single Unit)Option 208/16/2508/15/261EA18/15/2026Destination33911665202035
2036Titanium CAD/CAM abutment (OEM)IMPLANTS PROSTHETICS (Abutments)Option 208/16/2508/15/261EA18/15/2026Destination33911665202036
2037Titanium CAD/CAM abutment (Aftermarket)IMPLANTS PROSTHETICS (Abutments)Option 208/16/2508/15/261EA18/15/2026Destination33911665202037
2038Zirconia CAD/CAM abutment (OEM)IMPLANTS PROSTHETICS (Abutments)Option 208/16/2508/15/261EA18/15/2026Destination33911665202038
2039Zirconia CAD/CAM abutment (Aftermarket)IMPLANTS PROSTHETICS (Abutments)Option 208/16/2508/15/261EA18/15/2026Destination33911665202039
2040Custom AbutmentIMPLANTS PROSTHETICS (Abutments)Option 208/16/2508/15/261EA18/15/2026Destination33911665202040
2041Ti Base abutment (OEM)IMPLANTS PROSTHETICS (Abutments)Option 208/16/2508/15/261EA18/15/2026Destination33911665202041
2042Ti Base abutment (Aftermarket)IMPLANTS PROSTHETICS (Abutments)Option 208/16/2508/15/261EA18/15/2026Destination33911665202042
2043All on 4, Fixed Hybrid DentureIMPLANTS PROSTHETICS (Abutments)Option 208/16/2508/15/261EA18/15/2026Destination33911665202043
2044Full arch removable overdenture, titanium bar with attachmentsIMPLANTS PROSTHETICS (Abutments)Option 208/16/2508/15/261EA18/15/2026Destination33911665202044
2045Titanium BarIMPLANTS PROSTHETICS (Abutments)Option 208/16/2508/15/261EA18/15/2026Destination33911665202045
2046Complete Denture Setup (Premium Teeth / IPN Equivalent)REMOVABLE PROSTHETICSOption 208/16/2508/15/261EA18/15/2026Destination33911665202046
2047Complete Denture Process and Finish (Packing Technique)REMOVABLE PROSTHETICSOption 208/16/2508/15/261EA18/15/2026Destination33911665202047
2048Complete Denture Process and Finish (Injection Technique)REMOVABLE PROSTHETICSOption 208/16/2508/15/261EA18/15/2026Destination33911665202048
2049Complete Denture CAD-CAM MilledREMOVABLE PROSTHETICSOption 208/16/2508/15/261EA18/15/2026Destination33911665202049
2050Complete Denture 3D PrintedREMOVABLE PROSTHETICSOption 208/16/2508/15/261EA18/15/2026Destination33911665202050
2051RebaseREMOVABLE PROSTHETICSOption 208/16/2508/15/261EA18/15/2026Destination33911665202051
2052RelineREMOVABLE PROSTHETICSOption 208/16/2508/15/261EA18/15/2026Destination33911665202052
2053Repair add ToothREMOVABLE PROSTHETICSOption 208/16/2508/15/261EA18/15/2026Destination33911665202053
2054Repair Simple FractureREMOVABLE PROSTHETICSOption 208/16/2508/15/261EA18/15/2026Destination33911665202054
2055Repair Complex FractureREMOVABLE PROSTHETICSOption 208/16/2508/15/261EA18/15/2026Destination33911665202055
2056Custom TrayREMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202056
2057ModelREMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202057
2058Model 3D PrintedREMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202058
2059Bite BlocksREMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202059
2060Nightguard Hard Heat CuredREMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202060
2061Nightguard Vacuum-formedREMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202061
2062Nightguard Dual-laminateREMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202062
2063Nightguard TalonREMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202063
2064Nightguard 3D PrintedREMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202064
2065Nightguard 3D MilledREMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202065
2066Surgical StentREMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202066
2067Additional Clasp Wire Surcharge (Each)REMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202067
2068Additional Clasp Clear/Tooth Surcharge (Each)REMOVABLE PROSTHETICS OTHEROption 208/16/2508/15/261EA18/15/2026Destination33911665202068
2069Framework CastPARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202069
2070Framework CAD/CASTPARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202070
2071Framework CAD/Laser-Sintered/SLMPARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202071
2072Framework Milled Polymer Tooth ShadePARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202072
2073Framework Milled Polymer Clear ShadePARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202073
2074Reline Partial DenturePARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202074
2075Acrylic Transitional Partial Denture w/ 2 ClaspsPARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202075
2076Acrylic Transitional Partial Denture from SetupPARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202076
2077Partial Denture Setup (Premium Teeth / IPN Equivalent)PARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202077
2078Partial Denture Setup and Process (Premium Teeth / IPN Equivalent)PARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202078
2079Partial Denture Process & FinishPARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202079
2080Flexible Partial Denture Setup (Premium Teeth / IPN Equivalent)PARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202080
2081Flexible Partial Denture Setup and Process (Premium Teeth / IPN Equivalent)PARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202081
2082Flexible Partial Denture Process & FinishPARTIAL DENTURESOption 208/16/2508/15/261EA18/15/2026Destination33911665202082
3001PFM Crown (Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 308/16/2508/15/261EA18/15/2027Destination33911665203001
3002PFM Crowns (High Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 308/16/2608/15/271EA18/15/2027Destination33911665203002
3003PFM FPD (Bridge units - Retainer and pontics) (Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 308/16/2608/15/271EA18/15/2027Destination33911665203003
3004PFM FPD (Bridge units - Retainer and pontics) (High Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 308/16/2608/15/271EA18/15/2027Destination33911665203004
3005Porcelain Application OnlyCROWN AND BRIDGE METAL BASEDOption 308/16/2608/15/271EA18/15/2027Destination33911665203005
3006Full Metal Crowns (Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 308/16/2608/15/271EA18/15/2027Destination33911665203006
3007Full Metal Crowns (High Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 308/16/2608/15/271EA18/15/2027Destination33911665203007
3008Full Metal FPD (bridge units) (Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 308/16/2608/15/271EA18/15/2027Destination33911665203008
3009Full Metal FPD (bridge units) (High Noble Alloy)CROWN AND BRIDGE METAL BASEDOption 308/16/2608/15/271EA18/15/2027Destination33911665203009
3010Resin-bonded bridges (Maryland Bridge) (Ceramic)CROWN AND BRIDGE METAL BASEDOption 308/16/2608/15/271EA18/15/2027Destination33911665203010
3011Resin-bonded bridges (Maryland Bridge) (Metal Ceramic)CROWN AND BRIDGE METAL BASEDOption 308/16/2608/15/271EA18/15/2027Destination33911665203011
3012Porcelain Laminate VeneerCROWN AND BRIDGE METAL FREEOption 308/16/2608/15/271EA18/15/2027Destination33911665203012
3013All-Ceramic inlay-Onlay-3/4 CrownCROWN AND BRIDGE METAL FREEOption 308/16/2608/15/271EA18/15/2027Destination33911665203013
3014Pressed Lithium Disilicate/Silicate Crown/Full ContourCROWN AND BRIDGE METAL FREEOption 308/16/2608/15/271EA18/15/2027Destination33911665203014
3015Pressed Lithium Disilicate/Silicate Crown/LayeredCROWN AND BRIDGE METAL FREEOption 308/16/2608/15/271EA18/15/2027Destination33911665203015
3016Milled Lithium Disilicate/Silicate Crown/Full ContourCROWN AND BRIDGE METAL FREEOption 308/16/2608/15/271EA18/15/2027Destination33911665203016
3017Milled Lithium Disilicate/Silicate Crown/LayeredCROWN AND BRIDGE METAL FREEOption 308/16/2608/15/271EA18/15/2027Destination33911665203017
3018Porcelain-to-Zirconia Layered CrownCROWN AND BRIDGE METAL FREEOption 308/16/2608/15/271EA18/15/2027Destination33911665203018
3019Monolithic Zirconia CrownCROWN AND BRIDGE METAL FREEOption 308/16/2608/15/271EA18/15/2027Destination33911665203019
3020Metal-free 3-unit bridge w/Zirconia UnderstructureCROWN AND BRIDGE METAL FREEOption 308/16/2608/15/271EA18/15/2027Destination33911665203020
3021Processed Acrylic Provisional Restoration (Per Unit)CROWN AND BRIDGE OTHEROption 308/16/2608/15/271EA18/15/2027Destination33911665203021
3022Milled Provisional Restoration (Per Unit)CROWN AND BRIDGE OTHEROption 308/16/2608/15/271EA18/15/2027Destination33911665203022
30233D-Printed Provisional Restoration (Per Unit)CROWN AND BRIDGE OTHEROption 308/16/2608/15/271EA18/15/2027Destination33911665203023
30243D-Printed Model from Intraoral Scan (Per Arch)CROWN AND BRIDGE OTHEROption 308/16/2608/15/271EA18/15/2027Destination33911665203024
3025Diagnostic Wax-up (Per tooth)CROWN AND BRIDGE OTHEROption 308/16/2608/15/271EA18/15/2027Destination33911665203025
3026Cast Post and CoreCROWN AND BRIDGE OTHEROption 308/16/2608/15/271EA18/15/2027Destination33911665203026
3027Special Ceramics Addition (Pink Porcelain)CROWN AND BRIDGE OTHEROption 308/16/2608/15/271EA18/15/2027Destination33911665203027
3028Cement-retained PFM CrownIMPLANTS PROSTHETICS (Single Unit)Option 308/16/2608/15/271EA18/15/2027Destination33911665203028
3029Cement-retained Metal CrownIMPLANTS PROSTHETICS (Single Unit)Option 308/16/2608/15/271EA18/15/2027Destination33911665203029
3030Cement-retained Zirconia CrownIMPLANTS PROSTHETICS (Single Unit)Option 308/16/2608/15/271EA18/15/2027Destination33911665203030
3031Cement-retained Lithium Disilicate/Silicate CrownIMPLANTS PROSTHETICS (Single Unit)Option 308/16/2608/15/271EA18/15/2027Destination33911665203031
3032Screw-retained PFM CrownIMPLANTS PROSTHETICS (Single Unit)Option 308/16/2608/15/271EA18/15/2027Destination33911665203032
3033Screw-retained Metal CrownIMPLANTS PROSTHETICS (Single Unit)Option 308/16/2608/15/271EA18/15/2027Destination33911665203033
3034Screw-retained Zirconia CrownIMPLANTS PROSTHETICS (Single Unit)Option 308/16/2608/15/271EA18/15/2027Destination33911665203034

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated .