D1 Individual Price Schedule - 36C26023Q0652.xlsx
XLSX spreadsheet 26 KB Posted
- Solicitation number
- 36C26023Q0652
About this file
This document contains an individual price schedule for dental prosthetics work with a 48-hour turnaround time for the Spokane VA. The schedule lists over 120 estimated line items for various dental restorations, appliances, and related services including full metal and ceramic crowns, bridges, dentures, partial dentures, implants, and other miscellaneous items. Pricing is to be provided for each line item for five separate contract line item numbers with annual terms. The solicitation number is 36C26023Q0652 and is being issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20 for dental prosthetics services in accordance with the attached performance work statement.
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| File | Type | Posted |
|---|---|---|
| 36C26023Q0652.docx | DOCX document | |
| D2 Dental Prosthetics QASP - 36C26023Q0652.docx | DOCX document |
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Spokane
| D.1 INDIVIDUAL ITEM PRICING SCHEDULE & ESTIMATED QUANTITIES | |||||||||||||
| Spokane 48-Hour Turnaround Time | |||||||||||||
| 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 |
| Full Metal Restorations: | ||||||||
| 1 | Full-Cast Crown Inlay/Onlay Yellow Gold | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 2 | Full Gold Crown | 84 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 3 | Full Gold Pontic | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 4 | Post and Core | 12 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 5 | Fit to Partial - Full Gold | 3 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Ceramic Restorations: | ||||||||
| 6 | Zirconia Pontic | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 7 | Zirconia Monolithic Crown | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 8 | LAVA Crown | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 9 | E-max crown | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 10 | E-max pontic | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 11 | E-max vaneer | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Porcelain Fused to Metal: | ||||||||
| 12 | Porcelain to Metal | 100 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 13 | Porcelain Fused to Metal Pontics | 20 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 14 | Maryland Bridge (1 Pontic; 2 Wings) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 15 | Fit to Partial - Porcelain Fused to Metal | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 16 | Metal Occlusal | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Implants: | ||||||||
| 17 | Radio opaque surgical guide | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 18 | Implant diagnostic wax-up | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 19 | Centerline stint drill guide | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 20 | Soft tissue model | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 21 | Vendor supplied analogs | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 22 | Abutment design and manufacture (lab supplied) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 23 | Abutment design and manufacture (if cast-to is supplied by us) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 24 | Lava Custom abutment including parts | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 25 | Lab analogs | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 26 | Nobel, 3i, astra custom abutment | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 27 | Replacement abutment screw | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 28 | Opaquing custom abutment | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 29 | Abutment seating index | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 30 | Centerline stint drill guide | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Misc. Additional Items: | ||||||||
| 31 | Rest on Crown | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 32 | Rainbow bridge connector | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 33 | Under partial matrix (RPD replication) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 34 | Diagnostic Wax-Up | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Dentures (including immediate full dentures) | ||||||||
| 35 | Full Denture complete(Max. or man, not Including Teeth) | 80 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 36 | Denture Set Up (Try In) | 80 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 37 | Denture Processing/finishing | 80 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 38 | Base plate/bite rim | 80 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 39 | Reline complete denture | 30 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 40 | Model (bead, box, pour, trim) | 80 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 41 | Rebase Complete Denture | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 42 | Removable Partial Dentures | 100 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 43 | Vitallium/Vitallium 2000 Partial Frame Only | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 44 | Labial Hinge and Latch | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 45 | Denture ID | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 46 | Stress Breaker | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 47 | Cast Wire Clasp | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 48 | Partial Wax-Up Try In | 30 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 49 | Process Partial (per saddle) | 30 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 50 | Reline Removable Partial Denture (per saddle) | 30 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 51 | Add Tooth to Removable Partial Denture | 50 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 52 | Add Wrought Wire Clasp to Partial | 15 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 53 | Thermoflex clasp | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 54 | Weld RPD (add clasp, add tooth, etc) | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 55 | RPD bite block (per saddle) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 56 | Soldering (gold or silver) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 57 | Cast Unit (for cast clasps) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 58 | Metal Occlusal | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| 59 | Rebase RPD (per saddle) | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 60 | Flipper Cold Cure (Interim partial denture, stayplate; not including teeth) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 61 | Flipper Heat Cure (Interim partial denture, stayplate; not including teeth) | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Implants | ||||||||
| 62 | Set implant denture (not including teeth) | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 63 | Set up attachment case (not including teeth) | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 64 | Process/finish implant denture | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 65 | Process/finish attachment case | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 66 | Add implant on model | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 67 | Drill sleeve | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 68 | Drill stint | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 69 | Reline with attachment | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Implant Parts | ||||||||
| 70 | Abutment screw | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 71 | Abutment-UCLA-gold | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 72 | Analog | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 73 | Analog-Strauman | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 74 | Delivery screw | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 75 | ERA male only | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 76 | ERA RV housing | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 77 | Hader clip | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 78 | Hader Housing | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 79 | Lab screw | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 80 | Locator housing | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 81 | Locator males | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Implant Castings | ||||||||
| 82 | Attachment weld | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 83 | Dual Frame Locator | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 84 | Fixed Detachable Bar | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 85 | Hard weld | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 86 | Hybrid framework | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 87 | Implant bar | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 88 | Mill implant bar | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Misc Implant | ||||||||
| Flexible Dentures | ||||||||
| 89 | Flexite Partial (not including teeth) | 30 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 90 | Valplast RPD (not including teeth | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 91 | Clasp Added to Existing Frame | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Denture Teeth | ||||||||
| 92 | Posterior Teeth, Ivoclar Phonares (1 x 8) | 80 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 93 | Anterior Teeth, Ivoclar Blue-Line(1 x 6) | 80 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 94 | Posterior Teeth, Ivoclar Blue-Line(1 x 8) | 80 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 95 | Posterior Teeth, Ivoclar Phonares(per tooth) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Misc. Additional Items | ||||||||
| 96 | Rebase Denture | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 97 | Custom tray | 80 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 98 | Therma Flex night guard | 30 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 99 | Hard night guard | 20 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 100 | Wire Clasp C | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 101 | Ball Clasp | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 102 | Weld | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 103 | Process clear base | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 104 | Metal Backing | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 105 | Set Attachment | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 106 | P.D. Attachment | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 107 | Complex acrylic repair | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 108 | Repair Fracture | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 109 | Replace existing tooth | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 110 | Cure Attachment to Partial/Denture | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 111 | Add Wire Mesh | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 112 | Add Strengthener Bar | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 113 | Clear/Flexible Clasp | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 114 | Over-Denture Tooth Gasket | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 115 | TMJ Guard | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 116 | Essix Splint | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 117 | Talon Splint | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 118 | I Dent guide | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 119 | Surgical Stint | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 120 | Optional sleep apnea appliance | 1 | 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 |
GRAND TOTAL $0.00
File details come from the government source that posted it. Updated .