D1 Individual Price Schedule - 36C26022Q0290.xlsx
XLSX spreadsheet 19 KB Posted
- Solicitation number
- 36C26022Q0290
About this file
This document contains a price schedule and estimated quantities for dental lab services required by the VA Portland Healthcare System. The price schedule lists over 160 items categorized as full metal restorations, ceramic restorations, porcelain fused to metal, implants, removable prosthetics, implant parts, flexible dentures, denture teeth, and miscellaneous additional items. Estimated annual quantities are provided for each item along with blank fields to be completed with unit prices and estimated total prices. This price schedule corresponds with solicitation number 36C26022Q0290, which is for dental lab services for the VA Portland Healthcare System and its jurisdiction, set aside for small businesses in accordance with FAR 19.502. The period of performance and response date are not specified.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26022Q0290_1.docx | DOCX document | |
| D2 Dental Lab QASP - 36C26022Q0290.docx | DOCX document | |
| 36C26022Q0290.docx | DOCX document |
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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 |
| Full Metal Restorations: | |||||
| 1 | Full-Cast Crown Inlay/Onlay Yellow Gold | 10 | EA | $ | $ |
| 2 | Full Gold Crown | 600 | EA | $ | $ |
| 3 | Full Gold Pontic | 100 | EA | $ | $ |
| 4 | Post and Core | 10 | EA | $ | $ |
| 5 | Fit to Partial - Full Gold | 20 | EA | $ | $ |
| Ceramic Restorations: | |||||
| 6 | IPS Empress Esthetic Crown & Bridge | 200 | EA | $ | $ |
| 7 | IPS Empress Esthetic Veneer | 25 | EA | $ | $ |
| 8 | IPS Empress Onlay/Inlay | 25 | EA | $ | $ |
| 9 | IPS Empress Eris Crown and Bridge | 25 | EA | $ | $ |
| 9A | Zirconia Pontic | 50 | EA | $ | $ |
| 10 | Zirconia Monolithic Crown | 300 | EA | $ | $ |
| 11 | LAVA Crown | 75 | EA | $ | $ |
| 11A | E-max crown | 250 | EA | $ | $ |
| 11B | E-max pontic | 25 | EA | $ | $ |
| 11C | E-max vaneer | 25 | EA | $ | $ |
| Porcelain Fused to Metal: | |||||
| 12 | Porcelain to Metal | 400 | EA | $ | $ |
| 13 | Porcelain Fused to Metal Pontics | 150 | EA | $ | $ |
| 14 | Porcelain Labial Margins | 75 | EA | $ | $ |
| 15 | Maryland Bridge (1 Pontic; 2 Wings) | 10 | EA | $ | $ |
| 16 | Fit to Partial - Porcelain Fused to Metal | 30 | EA | $ | $ |
| 17 | Metal Occlusal | 30 | EA | $ | $ |
| Implants: | |||||
| 18 | Radio opaque surgical guide | 20 | EA | $ | $ |
| 19 | Implant diagnostic wax-up | 25 | EA | $ | $ |
| 20 | Stint/scan appliance with negative space centerlines (includes diagnostic wax-up) | 20 | EA | $ | $ |
| 21 | Centerline stint drill guide | 50 | EA | $ | $ |
| 22 | Soft tissue model | 200 | EA | $ | $ |
| 23 | Vendor supplied analogs | 25 | EA | $ | $ |
| 24 | Abutment design and manufacture (lab supplied) | 200 | EA | $ | $ |
| 25 | Abutment design and manufacture (if cast-to is supplied by us) | 200 | EA | $ | $ |
| 26 | Lava Custom abutment including parts | 25 | EA | $ | $ |
| 27 | Lab analogs | 200 | EA | $ | $ |
| 28 | Nobel, 3i, astra custom abutment | 200 | EA | $ | $ |
| 29 | Atlantis abutments, Ti or Zi | 100 | EA | $ | $ |
| 30 | Straumann cast-to | 50 | EA | $ | $ |
| 31 | Replacement abutment screw | 50 | EA | $ | $ |
| 32 | Opaquing custom abutment | 20 | EA | $ | $ |
| 33 | Abutment seating index | 50 | EA | $ | $ |
| 34 | Implant stabilization impression index | 10 | EA | $ | $ |
| 35 | Centerline stint drill guide | 50 | EA | $ | $ |
| Misc. Additional Items: | |||||
| 36 | Precision Attachment | 20 | EA | $ | $ |
| 37 | Rest on Crown | 50 | EA | $ | $ |
| 38 | Guide Plane Separate from Rest | 50 | EA | $ | $ |
| 39 | Touch pads (Zi or metal) | 5 | EA | $ | $ |
| 40 | Rainbow bridge connector | 1 | EA | $ | $ |
| 41 | Under partial matrix (RPD replication) | 10 | EA | $ | $ |
| 42 | Diagnostic Wax-Up | 75 | EA | $ | $ |
| Item No. | Description- Removable Prosthetics | Unit | |||
| Dentures (including immediate full dentures) | |||||
| 43 | Full Denture complete(Max. or man, not Including Teeth) | 500 | EA | $ | $ |
| 44 | Denture Set Up (Try In) | 500 | EA | $ | $ |
| 45 | Denture Processing/finishing | 500 | EA | $ | $ |
| 46 | Base plate/bite rim | 500 | EA | $ | $ |
| 47 | Reline complete denture | 200 | EA | $ | $ |
| 48 | Model (bead, box, pour, trim) | 200 | EA | $ | $ |
| 49 | Rebase Complete Denture | 30 | EA | $ | $ |
| 50 | Duplicate Denture | 50 | EA | $ | $ |
| 51 | Removable Partial Dentures | 400 | EA | $ | $ |
| 52 | Vitallium/Vitallium 2000 Partial Frame Only | 200 | EA | $ | $ |
| 53 | Labial Hinge and Latch | 10 | EA | $ | $ |
| 54 | Denture ID | 1000 | EA | $ | $ |
| 55 | Stress Breaker | 15 | EA | $ | $ |
| 56 | Cast Wire Clasp | 50 | EA | $ | $ |
| 57 | Partial Wax-Up Try In | 100 | EA | $ | $ |
| 58 | Process Partial (per saddle) | 200 | EA | $ | $ |
| 59 | Reline Removable Partial Denture (per saddle) | 100 | EA | $ | $ |
| 60 | Add Tooth to Removable Partial Denture | 50 | EA | $ | $ |
| 61 | Add Wrought Wire Clasp to Partial | 50 | EA | $ | $ |
| 62 | Thermoflex clasp | 50 | EA | $ | $ |
| 63 | Weld RPD (add clasp, add tooth, etc) | 20 | EA | $ | $ |
| 64 | RPD bite block (per saddle) | 100 | EA | $ | $ |
| 65 | Soldering (gold or silver) | 10 | EA | $ | $ |
| 66 | Cast Unit (for cast clasps) | 50 | EA | $ | $ |
| 67 | Metal Occlusal | 25 | EA | $ | $ |
| 68 | Rebase RPD (per saddle) | 20 | EA | $ | $ |
| 69 | Flipper Cold Cure (Interim partial denture, stayplate; not including teeth) | 50 | EA | $ | $ |
| 70 | Flipper Heat Cure (Interim partial denture, stayplate; not including teeth) | 50 | EA | $ | $ |
| Implants | |||||
| 71 | Set implant denture (not including teeth) | 50 | EA | $ | $ |
| 72 | Set up attachment case (not including teeth) | 50 | EA | $ | $ |
| 73 | Process/finish implant denture | 50 | EA | $ | $ |
| 74 | Process/finish attachment case | 50 | EA | $ | $ |
| 75 | Add implant on model | 50 | EA | $ | $ |
| 76 | Drill sleeve | 50 | EA | $ | $ |
| 77 | Drill stint | 50 | EA | $ | $ |
| 78 | Reline with attachment | 25 | EA | $ | $ |
| Implant Parts | |||||
| 79 | Abutment screw | 300 | EA | $ | $ |
| 80 | Abutment-UCLA-gold | 75 | EA | $ | $ |
| 81 | Analog | 300 | EA | $ | $ |
| 82 | Analog-3I | 100 | EA | $ | $ |
| 83 | Analog-Strauman | 300 | EA | $ | $ |
| 84 | Delivery screw | 300 | EA | $ | $ |
| 85 | ERA male only | 50 | EA | $ | $ |
| 86 | ERA RV housing | 50 | EA | $ | $ |
| 87 | Gingihue abutment | 25 | EA | $ | $ |
| 88 | Gold coping multi-unit | 5 | EA | $ | $ |
| 89 | Gold cylinder | 5 | EA | $ | $ |
| 90 | Hader clip | 25 | EA | $ | $ |
| 91 | Hader Housing | 25 | EA | $ | $ |
| 92 | Lab screw | 300 | EA | $ | $ |
| 93 | Locator abutment head | 50 | EA | $ | $ |
| 94 | Locator housing | 50 | EA | $ | $ |
| 95 | Locator impression coping | 50 | EA | $ | $ |
| 96 | Locator males | 50 | EA | $ | $ |
| 97 | Plastic clip | 30 | EA | $ | $ |
| Implant Castings | |||||
| 98 | Attachment weld | 5 | EA | $ | $ |
| 99 | CAD CAM | 20 | EA | $ | $ |
| 100 | Cantilever Bar ext. | 10 | EA | $ | $ |
| 101 | Dual Frame Locator | 10 | EA | $ | $ |
| 102 | Fixed Detachable Bar | 10 | EA | $ | $ |
| 103 | Hard weld | 10 | EA | $ | $ |
| 104 | Hybrid framework | 40 | EA | $ | $ |
| 105 | Implant bar | 25 | EA | $ | $ |
| 106 | Implant single abutment | 250 | EA | $ | $ |
| 107 | Mill implant bar | 25 | EA | $ | $ |
| 108 | Mill lingual | 20 | EA | $ | $ |
| 109 | Threaded castable post | 10 | EA | $ | $ |
| Misc Implant | |||||
| 110 | Nobel guide model | 20 | EA | $ | $ |
| 111 | Nobel guide stent | 20 | EA | $ | $ |
| 112 | Nobel temporary bridge | 20 | EA | $ | $ |
| Flexible Dentures | |||||
| 113 | Flexite Partial (not including teeth) | 150 | EA | $ | $ |
| 114 | Valplast RPD (not including teeth | 250 | EA | $ | $ |
| 115 | Clasp Added to Existing Frame | 25 | EA | $ | $ |
| Denture Teeth | |||||
| 116 | Anterior Teeth, Ivoclar Phonares (1 x 6) | 400 | EA | $ | $ |
| 117 | Posterior Teeth, Ivoclar Phonares (1 x 8) | 400 | EA | $ | $ |
| 118 | Anterior Teeth, Ivoclar Blue-Line(1 x 6) | 400 | EA | $ | $ |
| 119 | Posterior Teeth, Ivoclar Blue-Line(1 x 8) | 400 | EA | $ | $ |
| 120 | Anterior Teeth, Ivoclar Ivostar (1 x 6) | 100 | EA | $ | $ |
| 121 | Posterior Teeth, Ivoclar Nathostar(1 x 8) | 25 | EA | $ | $ |
| 122 | Anterior Teeth, Ivoclar Phonares(per tooth) | 25 | EA | $ | $ |
| 123 | Posterior Teeth, Ivoclar Phonares(per tooth) | 25 | EA | $ | $ |
| 124 | Anterior Teeth, Ivoclar Blue-Line(per tooth) | 25 | EA | $ | $ |
| 125 | Posterior Teeth, Ivoclar Blue-Line(per tooth) | 25 | EA | $ | $ |
| 126 | Anterior Teeth, Ivoclar Ivostar(per tooth) | 25 | EA | $ | $ |
| 127 | Posterior Teeth, Ivoclar Nathostar (per tooth) | 25 | EA | $ | $ |
| Misc. Additional Items | |||||
| 128 | Rebase Denture | 25 | EA | $ | $ |
| 129 | Custom tray | 400 | EA | $ | $ |
| 130 | Brux-eze | 10 | EA | $ | $ |
| 131 | Therma Flex night guard | 150 | EA | $ | $ |
| 132 | Hard night guard | 100 | EA | $ | $ |
| 133 | Set Up Per Tooth | 20 | EA | $ | $ |
| 134 | Wire Clasp C | 35 | EA | $ | $ |
| 135 | Ball Clasp | 20 | EA | $ | $ |
| 136 | Weld | 10 | EA | $ | $ |
| 137 | Additional Weld | 5 | EA | $ | $ |
| 138 | Process clear base | 20 | EA | $ | $ |
| 139 | Metal Backing | 10 | EA | $ | $ |
| 140 | Set Attachment | 5 | EA | $ | $ |
| 141 | P.D. Attachment | 5 | EA | $ | $ |
| 142 | Complex acrylic repair | 20 | EA | $ | $ |
| 143 | Repair Fracture | 75 | EA | $ | $ |
| 144 | Replace existing tooth | 5 | EA | $ | $ |
| 145 | Cure Attachment to Partial/Denture | 30 | EA | $ | $ |
| 146 | Add Wire Mesh | 20 | EA | $ | $ |
| 147 | Add Strengthener Bar | 10 | EA | $ | $ |
| 148 | Clear/Flexible Clasp | 20 | EA | $ | $ |
| 149 | Over-Denture Tooth Gasket | 25 | EA | $ | $ |
| 150 | TMJ Guard | 10 | EA | $ | $ |
| 151 | Gnatho Splint | 1 | EA | $ | $ |
| 152 | Essix Splint | 10 | EA | $ | $ |
| 153 | Talon Splint | 1 | EA | $ | $ |
| 156 | TAP Appliance | 75 | EA | $ | $ |
| 157 | I Dent guide | 1 | EA | $ | $ |
| 158 | Implant model surgery | 15 | EA | $ | $ |
| 159 | Map and Wax for implant placement | 15 | EA | $ | $ |
| 160 | Surgical Stint | 50 | EA | $ | $ |
| 161 | Optional sleep apnea appliance | 75 | EA | $ | $ |
File details come from the government source that posted it. Updated .