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D.1 IDIQ PRICE LIST/ BID SHEET
| Line Item |
| Description |
| Unit Price |
| Estimated Quantities |
| Total Estimated |
Unit Price
COMPLETE DENTURE
| 00001 |
| Custom Impression Trays |
| $_______ |
| 5 |
| $________ |
| 00002 |
| Resin Base Plate |
| $_______ |
| 5 |
| $________ |
| 00003 |
| Resin Base Plate with Wax Rim |
| $_______ |
| 250 |
| $________ |
| 00004 |
| Max/Mand Denture Set-up (+ Teeth) |
| $_______ |
| 250 |
| $________ |
| 00005 |
| Max/Mand Denture Process and Finish |
| $_______ |
| 250 |
| $________ |
| 00006 |
| Max/Mand Immedate Denture Set-up (+ Teeth) |
| $_______ |
| 250 |
| $________ |
| 00007 |
| Max/Mand Immedate Denture Process and Finish |
| $_______ |
| 250 |
| $________ |
| 00008 |
| Implant Resin Base Plate |
| $_______ |
| 5 |
| $________ |
| 00009 |
| Implant Resin Base Plate with Wax Rim |
| $_______ |
| 25 |
| $________ |
| 00010 |
| Implant Denture Set-up (+ Teeth) |
| $_______ |
| 25 |
| $________ |
| 00011 |
| Implant Denture Process and Finish |
| $_______ |
| 25 |
| $________ |
| 00012 |
| Processed Record Base |
| $_______ |
| 5 |
| $________ |
| 00013 |
| Processed Implant Record Base |
| $_______ |
| 5 |
| $________ |
| 00014 |
| Palatal Mesh |
| $_______ |
| 25 |
| $________ |
| 00015 |
| Metal Base |
| $_______ |
| 25 |
| $________ |
| 00016 |
| Fiberglass Reinforcement |
| $_______ |
| 5 |
| $________ |
| 00017 |
| Reset Teeth Conventional Denture |
| $_______ |
| 50 |
| $________ |
| 00018 |
| Reset Teeth Implant Denture |
| $_______ |
| 50 |
| $________ |
| 00019 |
| Denture Wax-up |
| $_______ |
| 15 |
| $________ |
CAST-FRAMEWORK PARTIAL DENTURE
| 00020 |
| Chrome Cobalt Cast Partial Denture Framework |
| $_______ |
| 1250 |
| $________ |
| 00021 |
| Additional Cast Clasps |
| $_______ |
| 1250 |
| $________ |
| 00022 |
| Additional Saddles |
| $_______ |
| 50 |
| $________ |
| 00023 |
| Bite Block for Partial |
| $_______ |
| 5 |
| $________ |
| 00024 |
| Chrome Cobalt Cast Partial Set-up (+ Teeth) |
| $_______ |
| 1000 |
| $________ |
| 00025 |
| Chrome Cobalt Cast Partial Process and Finish |
| $_______ |
| 1000 |
| $________ |
| 00026 |
| Metal Plate per Tooth |
| $_______ |
| 25 |
| $________ |
| 00027 |
| Metal Pontic/Onlay |
| $_______ |
| 25 |
| $________ |
| 00028 |
| Steele's Facing (Framework Design Element) |
| $_______ |
| 5 |
| $________ |
| 00029 |
| Reset Teeth Cast-Framework Partial Denture |
| $_______ |
| 50 |
| $________ |
ACRYLIC PARTIAL DENTURE
| 00030 |
| Acrylic Partial Set-up (+ Teeth)(Include 2 Clasps) |
| $_______ |
| 250 |
| $________ |
| 00031 |
| Acrylic Partial Process and Finish |
| $_______ |
| 250 |
| $________ |
| 00032 |
| Temporary Acrylic Partial (flipper) (+ Teeth) |
| $_______ |
| 50 |
| $________ |
| 00033 |
| Acrylic Partial Repair |
| $_______ |
| 5 |
| $________ |
ACRYLIC RELINE/REPAIR
| 00034 |
| Acrylic Reline: Complete or Partial Denture |
| $_______ |
| 25 |
| $________ |
| 00035 |
| Acrylic Reline: Implant Complete Denture |
| $_______ |
| 25 |
| $________ |
| 00036 |
| Soft Reline: Complete or Partial Denture |
| $_______ |
| 25 |
| $________ |
| 00037 |
| Acrylic Rebase: Complete or Partial Denture |
| $_______ |
| 25 |
| $________ |
| 00038 |
| Acrylic Rebase: Implant Complete Denture |
| $_______ |
| 25 |
| $________ |
| 00039 |
| Solder/Weld |
| $_______ |
| 25 |
| $________ |
| 00040 |
| Repair Complete Denture -- Major |
| $_______ |
| 5 |
| $________ |
| 00041 |
| Repair Complete Denture -- Minor |
| $_______ |
| 5 |
| $________ |
VALPLAST PARTIAL DENTURE
| 00042 |
| Valplast Nesbit Partial Denture (+ Teeth) |
| $_______ |
| 500 |
| $________ |
| 00043 |
| Valplast Partial Denture Set-up (+ Teeth) |
| $_______ |
| 500 |
| $________ |
| 00044 |
| Valplast Partial Denture Process and Finish |
| $_______ |
| 500 |
| $________ |
| 00045 |
| Valplast Partial Denture with Ticonium Frame (+ Teeth) |
| $_______ |
| 5 |
| $________ |
| 00046 |
| Valplast Partial Repair |
| $_______ |
| 5 |
| $________ |
CLEAR FRAME PARTIAL DENTURE
| 00047 |
| Clear Frame Partial Framework |
| $_______ |
| 5 |
| $________ |
| 00048 |
| Clear Frame Partial Denture Set-up (+ Teeth) |
| $_______ |
| 5 |
| $________ |
| 00049 |
| Clear Frame Partial Denture Process and Finish |
| $_______ |
| 5 |
| $________ |
| 00050 |
| Clear Frame Partial Repair |
| $_______ |
| 5 |
| $________ |
ALL METALIC INDIRECT RESTORATIONS
| 00051 |
| Cast Inlay/Onlay/Crown/Retainer/Pontic - Yellow Gold (Noble Metal) |
| $_______ |
| 1000 |
| $________ |
| 00052 |
| Cast Inlay/Onlay/Crown/Retainer/Pontic - White Gold (Noble Metal) |
| $_______ |
| 1000 |
| $________ |
| 00053 |
| Milled Inlay/Onlay/Crown/Retainer/Pontic - Titanium |
| $_______ |
| 50 |
| $________ |
PORCELAIN FUSED TO METAL INDIRECT RESTORATIONS
| 00054 |
| Cast Inlay/Onlay/Crown/Retainer/Pontic - Ceramic Alloy (Noble Metal) |
| $_______ |
| 500 |
| $________ |
| 00055 |
| Porcelain Butt Joint |
| $_______ |
| 50 |
| $________ |
| 00056 |
| Metal Occlusal Surface |
| $_______ |
| 100 |
| $________ |
| 00057 |
| Strip and Restack |
| $_______ |
| 5 |
| $________ |
ALL CERAMIC INDIRECT RESTORATIONS
| 00058 |
| Pressed Inlay/Onlay/Veneer/Crown/Retainer/Pontic - eMax |
| $_______ |
| 100 |
| $________ |
| 00059 |
| Pressed Layered Inlay/Onlay/Veneer/Crown/Retainer/Pontic - eMax |
| $_______ |
| 175 |
| $________ |
| 00060 |
| Milled Inlay/Onlay/Veneer/Crown/Retainer/Pontic - Zirconia |
| $_______ |
| 500 |
| $________ |
| 00061 |
| Milled Layered Inlay/Onlay/Veneer/Crown/Retainer/Pontic - Zirconia |
| $_______ |
| 250 |
| $________ |
RESIN INDIRECT RESTORATIONS
| 00062 |
| Inlay/Onlay/Veneer/Crown/Retainer/Pontic |
| $_______ |
| 100 |
| $________ |
IMPLANT RESTORATIONS
| 00063 |
| Implant Verification Splint |
| 00064 |
| Implant/Abutment Connecting Bars and/or Frameworks - Milled Titanium |
| $_______ |
| 5 |
| $________ |
| 00065 |
| Implant Ticonium Strengthening Bar/Mesio-Structure |
| $_______ |
| 25 |
| $________ |
| 00066 |
| Implant Fixed Detachable Denture Set-up (+ Teeth) |
| $_______ |
| 10 |
| $________ |
| 00067 |
| Implant Fixed Detachable Denture Process and Finish |
| $_______ |
| 10 |
| $________ |
| 00068 |
| Implant Custom Abutment - Cast-to-Abutment (Noble Metal) |
| $_______ |
| 10 |
| $________ |
| 00069 |
| Implant Custom Abutment - Milled Titanium |
| $_______ |
| 250 |
| $________ |
| 00070 |
| Implant Custom Abutment - Milled Zirconia |
| $_______ |
| 125 |
| $________ |
| 00071 |
| Implant Supported Crown/Retainer - Gold Cast-to-Abutment (Noble Metal) |
| $_______ |
| 50 |
| $________ |
| 00072 |
| Implant Supported Crown/Retainer - PFM Cast-to-Abutment (Noble Metal) |
| $_______ |
| 250 |
| $________ |
| 00073 |
| Implant Supported Crown/Retainer - Milled Titanium |
| $_______ |
| 250 |
| $________ |
| 00074 |
| Implant Supported Crown/Retainer - Milled Zirconia |
| $_______ |
| 125 |
| $________ |
| 00075 |
| Abutment Supported Crown/Retainer |
| $_______ |
| 5 |
| $________ |
MISCELLANEOUS ITEMS
| 00076 |
| Removable Prosthodontics Model Work & Articulation |
| $_______ |
| 2500 |
| $________ |
| 00077 |
| Myerson Anterior Single Tooth |
| $_______ |
| 5 |
| $________ |
| 00078 |
| Myerson Posterior Single Tooth |
| $_______ |
| 5 |
| $________ |
| 00079 |
| Myerson Anterior 1x6 |
| $_______ |
| 5 |
| $________ |
| 00080 |
| Myerson Posterior 1x8 |
| $_______ |
| 5 |
| $________ |
| 00081 |
| Ivoclar Anterior Single Tooth |
| $_______ |
| 5 |
| $________ |
| 00082 |
| Ivoclar Posterior Single Tooth |
| $_______ |
| 5 |
| $________ |
| 00083 |
| Ivoclar Anterior 1x6 |
| $_______ |
| 5 |
| $________ |
| 00084 |
| Ivoclar Posterior 1x8 |
| $_______ |
| 5 |
| $________ |
| 00085 |
| Cutter Bars (per arch) |
| $_______ |
| 30 |
| $________ |
| 00086 |
| Denture/Partial ID |
| $_______ |
| 1500 |
| $________ |
| 00087 |
| Surgical Stent |
| $_______ |
| 5 |
| $________ |
| 00088 |
| Duplicate Model |
| $_______ |
| 1250 |
| $________ |
| 00089 |
| Wrought Wire Clasps |
| $_______ |
| 500 |
| $________ |
| 00090 |
| Diagnostic Wax-up per Tooth |
| $_______ |
| 1000 |
| $________ |
| 00091 |
| Provisional Matrix |
| $_______ |
| 100 |
| $________ |
| 00092 |
| Processed Provisionals (Overlay/Crown/Retainer/Pontic) |
| $_______ |
| 375 |
| $________ |
| 00093 |
| Crown and Bridge Prosthodontics Model Work & Articulation |
| $_______ |
| 1000 |
| $________ |
| 00094 |
| Soft Tissue Model |
| $_______ |
| 25 |
| $________ |
| 00095 |
| Surveyed Crown |
| $_______ |
| 150 |
| $________ |
| 00096 |
| Rest Seat on Crown |
| $_______ |
| 150 |
| $________ |
| 00097 |
| Crown Adaptation to Existing Partial Denture |
| $_______ |
| 150 |
| $________ |
| 00098 |
| Precision and/or Semi-Precision Attachment |
| $_______ |
| 50 |
| $________ |
| 00099 |
| Pink Tissue/Porcelain |
| $_______ |
| 60 |
| $________ |
| 00100 |
| Implant Radiographic/Surgical Guide |
| $_______ |
| 5 |
| $________ |
| 00101 |
| Talon Splint |
| $_______ |
| 5 |
| $________ |
| 00102 |
| Essex Appliance |
| $_______ |
| 5 |
| $________ |
| 00103 |
| Bilaminate Night Guard |
| $_______ |
| 400 |
| $________ |
| 00104 |
| Soft Night Guard |
| $_______ |
| 25 |
| $________ |
| 00105 |
| Processed Night Guard/Bruxing Appliance |
| $_______ |
| 50 |
| $________ |
| 00106 |
| TAP Appliance |
| $_______ |
| 50 |
| $________ |
TOTAL FOR BASE Contract
