D1 Individual Price Schedule - 36C26023Q0358.xlsx

XLSX spreadsheet 17 KB Posted

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Portland VA Dental Prosthetics
Solicitation number
36C26023Q0358
Issued by

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This document contains an individual price schedule for dental prosthetics and a related federal contract opportunity notice. The price schedule lists 57 types of dental prosthetics and services with estimated quantities and blank pricing fields. The solicitation is for dental prosthetics for the VA Portland Health Care System and its jurisdiction under solicitation number 36C26023Q0358. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20 is the contracting agency. Pricing is to be provided by offerors for the dental prosthetics and services listed for multiple contract line item numbers with estimated spending totals calculated.

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36C26023Q0358 0001.docx DOCX document
D1 Individual Price Schedule - 36C26023Q0358 (Amended).xlsx XLSX spreadsheet
36C26023Q0358.docx DOCX document
D2 Dental Lab QASP - 36C26023Q0358.docx DOCX document

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PORTLAND

D.1 INDIVIDUAL ITEM PRICING SCHEDULE & ESTIMATED QUANTITIES
PORTLAND
Item No.DescriptionEstimated QuantitiesUnitCLIN 0001 Unit PriceCLIN 0001 Est. Total PriceCLIN 1001 Unit PriceCLIN 1001 Est. Total PriceCLIN 2001 Unit PriceCLIN 2001 Est. Total PriceCLIN 3001 Unit PriceCLIN 3001 Est. Total PriceCLIN 4001 Unit PriceCLIN 4001 Est. Total Price
1Artic 1x1 Ant20EA$0.00$0.00$0.00$0.00$0.00
2Artic 1x1 Post1EA$0.00$0.00$0.00$0.00$0.00
3Artisan Digital Bruxguard (ADB)15EA$0.00$0.00$0.00$0.00$0.00
4Base Plate & Wax-rim9EA$0.00$0.00$0.00$0.00$0.00
5Bleaching Stent2EA$0.00$0.00$0.00$0.00$0.00
6Biostar Retainer4EA$0.00$0.00$0.00$0.00$0.00
7Biostar Splint1EA$0.00$0.00$0.00$0.00$0.00
8Cast Clasp With Loop1EA$0.00$0.00$0.00$0.00$0.00
9Denture Adjust1EA$0.00$0.00$0.00$0.00$0.00
10Digital Mandibular Frame3EA$0.00$0.00$0.00$0.00$0.00
11Digital Maxillary Frame4EA$0.00$0.00$0.00$0.00$0.00
12Duraflex26EA$0.00$0.00$0.00$0.00$0.00
13Duraflex Repair1EA$0.00$0.00$0.00$0.00$0.00
14Duraflex Try-In1EA$0.00$0.00$0.00$0.00$0.00
15Duralay Coping2EA$0.00$0.00$0.00$0.00$0.00
16e.max Basic Anterior1EA$0.00$0.00$0.00$0.00$0.00
17e.max Basic Posterior1EA$0.00$0.00$0.00$0.00$0.00
18Eclipse Heat & Seat1EA$0.00$0.00$0.00$0.00$0.00
19Flipper with Wire 1 Tooth1EA$0.00$0.00$0.00$0.00$0.00
20Full Cast Crown1EA$0.00$0.00$0.00$0.00$0.00
21High Noble White26EA$0.00$0.00$0.00$0.00$0.00
22High Noble Yellow Alloy3EA$0.00$0.00$0.00$0.00$0.00
23Immediate Set And Finish3EA$0.00$0.00$0.00$0.00$0.00
24Implant Abutment2EA$0.00$0.00$0.00$0.00$0.00
25Impression Tray3EA$0.00$0.00$0.00$0.00$0.00
26Large Repair4EA$0.00$0.00$0.00$0.00$0.00
27Laser Weld1EA$0.00$0.00$0.00$0.00$0.00
28Mondial 1X1143EA$0.00$0.00$0.00$0.00$0.00
29Mondial 1X614EA$0.00$0.00$0.00$0.00$0.00
30Mondial 1X813EA$0.00$0.00$0.00$0.00$0.00
31NG Adjust1EA$0.00$0.00$0.00$0.00$0.00
32NG3603EA$0.00$0.00$0.00$0.00$0.00
33Ortho Repair1EA$0.00$0.00$0.00$0.00$0.00
34Partial Adjust1EA$0.00$0.00$0.00$0.00$0.00
35PFM Screw Retained Crown9EA$0.00$0.00$0.00$0.00$0.00
36Porcelain Margin(s)1EA$0.00$0.00$0.00$0.00$0.00
37Porcelain To Metal Crown10EA$0.00$0.00$0.00$0.00$0.00
38Reline & Add Tooth1EA$0.00$0.00$0.00$0.00$0.00
39Reline & Repair Break1EA$0.00$0.00$0.00$0.00$0.00
40Reline Denture13EA$0.00$0.00$0.00$0.00$0.00
41Repair 51EA$0.00$0.00$0.00$0.00$0.00
42Repair Minor1EA$0.00$0.00$0.00$0.00$0.00
43Reset Denture1EA$0.00$0.00$0.00$0.00$0.00
44Set & Finish Denture12EA$0.00$0.00$0.00$0.00$0.00
45Set & Finish Partial 22EA$0.00$0.00$0.00$0.00$0.00
46Set-up & Wax Denture13EA$0.00$0.00$0.00$0.00$0.00
47Set-up Denture1EA$0.00$0.00$0.00$0.00$0.00
48Soft Reline2EA$0.00$0.00$0.00$0.00$0.00
49STZ Bridge3EA$0.00$0.00$0.00$0.00$0.00
50STZ crown7EA$0.00$0.00$0.00$0.00$0.00
51Tap Appliance6EA$0.00$0.00$0.00$0.00$0.00
52Thermoflex Clasp5EA$0.00$0.00$0.00$0.00$0.00
53Unilateral Duraflex2EA$0.00$0.00$0.00$0.00$0.00
54Wire Clasp5EA$0.00$0.00$0.00$0.00$0.00
55Wire Mesh1EA$0.00$0.00$0.00$0.00$0.00
56Z360 Bridge3EA$0.00$0.00$0.00$0.00$0.00
57Z360 Zirconia Crown4EA$0.00$0.00$0.00$0.00$0.00
TOTALCLIN 0001CLIN 1001CLIN 2001CLIN 3001CLIN 4001
$0.00$0.00$0.00$0.00$0.00

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