D1 Individual Price Schedule - 36C26023Q0696.xlsx
XLSX spreadsheet 24 KB Posted
- Attached to
- Dental Prosthetics Federal contract opportunity
- Solicitation number
- 36C26023Q0696
About this file
This document contains an individual price schedule for dental prosthetics and estimated quantities required by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20. Pricing is solicited for 120 line items including full cast crowns, bridges, dentures, partial dentures, dental implants, and various dental lab services. Estimated annual quantities are provided for each line item, however unit pricing is unspecified. This is a small business set-aside being conducted by the VA Southern Oregon Rehabilitation Center & Clinics in accordance with the requirements description.
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| D2 Dental Prosthetics QASP - 36C26023Q0696.docx | DOCX document | |
| 36C26023Q0696.docx | DOCX document |
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WHITE CITY
| D.1 INDIVIDUAL ITEM PRICING SCHEDULE & ESTIMATED QUANTITIES | |||||||||||||
| White City | |||||||||||||
| 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 |
| 1 | Full-Cast Crown Inlay/Onlay Yellow Gold | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 2 | Full Gold Crown | 100 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 3 | Full Gold Pontic | 40 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 4 | Post and Core | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 5 | Fit to Partial - Full Gold | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 6 | IPS Empress Esthetic Veneer | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 7 | Zirconia Pontic | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 8 | Zirconia Monolithic Crown | 70 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 9 | LAVA Crown | 35 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 10 | E-max crown | 35 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 11 | E-max pontic | 18 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 12 | Porcelain to Metal | 70 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 13 | Porcelain Fused to Metal Pontics | 70 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 14 | Porcelain Labial Margins | 18 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 15 | Maryland Bridge (1 Pontic; 2 Wings) | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 16 | Fit to Partial - Porcelain Fused to Metal | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 17 | Metal Occlusal | 14 | 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 | Lab analogs | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 20 | Nobel, 3i, astra custom abutment | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 21 | Straumann cast-to | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 22 | Replacement abutment screw | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 23 | Precision Attachment | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 24 | Rest on Crown | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 25 | Guide Plane Separate from Rest | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 26 | Touch pads (Zi or metal) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 27 | Diagnostic Wax-Up | 18 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 28 | Full Denture complete(Max. or man, not Including Teeth) | 67 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 29 | Denture Set Up (Try In) | 67 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 30 | Denture Processing/finishing | 67 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 31 | Base plate/bite rim | 42 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 32 | Reline complete denture | 63 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 33 | Model (bead, box, pour, trim) | 35 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 34 | Rebase Complete Denture | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 35 | Removable Partial Dentures | 49 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 36 | Vitallium/Vitallium 2000 Partial Frame Only | 35 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 37 | Labial Hinge and Latch | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 38 | Denture ID | 140 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 39 | Stress Breaker | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 40 | Cast Wire Clasp | 18 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 41 | Partial Wax-Up Try In | 35 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 42 | Process Partial (per saddle) | 39 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 43 | Reline Removable Partial Denture (per saddle) | 18 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 44 | Add Tooth to Removable Partial Denture | 21 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 45 | Add Wrought Wire Clasp to Partial | 11 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 46 | Thermoflex clasp | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 47 | Weld RPD (add clasp, add tooth, etc) | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 48 | RPD bite block (per saddle) | 21 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 49 | Soldering (gold or silver) | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 50 | Cast Unit (for cast clasps) | 35 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 51 | Metal Occlusal | 18 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 52 | Rebase RPD (per saddle) | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 53 | Flipper Cold Cure (Interim partial denture, stayplate; not including teeth) | 11 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 54 | Flipper Heat Cure (Interim partial denture, stayplate; not including teeth) | 42 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 55 | Set implant denture (not including teeth) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 56 | Set up attachment case (not including teeth) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 57 | Process/finish implant denture | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 58 | Process/finish attachment case | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 59 | Reline with attachment | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 60 | Abutment screw | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 61 | Abutment-UCLA-gold | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 62 | Locator abutment head | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 63 | Attachment weld | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 64 | CAD CAM | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 65 | Cantilever Bar ext. | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 66 | Dual Frame Locator | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 67 | Fixed Detachable Bar | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 68 | Hard weld | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 69 | Hybrid framework | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 70 | Implant bar | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 71 | Implant single abutment | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 72 | Mill implant bar | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 73 | Mill lingual | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 74 | Threaded castable post | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 75 | Nobel guide model | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 76 | Nobel guide stent | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 77 | Nobel temporary bridge | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 78 | Flexite Partial (not including teeth) | 35 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 79 | Valplast RPD (not including teeth | 70 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 80 | Clasp Added to Existing Frame | 18 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 81 | Anterior Teeth, Ivoclar Phonares (1 x 6) | 70 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 82 | Posterior Teeth, Ivoclar Phonares (1 x 8) | 70 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 83 | Anterior Teeth, Ivoclar Blue-Line(1 x 6) | 70 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 84 | Posterior Teeth, Ivoclar Blue-Line(1 x 8) | 70 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 85 | Anterior Teeth, Ivoclar Ivostar (1 x 6) | 70 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 86 | Posterior Teeth, Ivoclar Nathostar(1 x 8) | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 87 | Anterior Teeth, Ivoclar Phonares(per tooth) | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 88 | Posterior Teeth, Ivoclar Phonares(per tooth) | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 89 | Anterior Teeth, Ivoclar Blue-Line(per tooth) | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 90 | Posterior Teeth, Ivoclar Blue-Line(per tooth) | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 91 | Anterior Teeth, Ivoclar Ivostar(per tooth) | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 92 | Posterior Teeth, Ivoclar Nathostar (per tooth) | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 93 | Rebase Denture | 11 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 94 | Custom tray | 35 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 95 | Brux-eze | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 96 | Therma Flex night guard | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 97 | Hard night guard | 56 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 98 | Set Up Per Tooth | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 99 | Wire Clasp C | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 100 | Ball Clasp | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 101 | Weld | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 102 | Additional Weld | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 103 | Process clear base | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 104 | Metal Backing | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 105 | Set Attachment | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 106 | P.D. Attachment | 4 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 107 | Complex acrylic repair | 11 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 108 | Repair Fracture | 28 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 109 | Replace existing tooth | 14 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 110 | Cure Attachment to Partial/Denture | 18 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 111 | Add Wire Mesh | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 112 | TMJ Guard | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 113 | Gnatho Splint | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 114 | Essix Splint | 7 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 115 | Talon Splint | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 116 | TAP Appliance | 11 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 117 | I Dent guide | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 118 | Implant model surgery | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 119 | Map and Wax for implant placement | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 120 | Surgical Stint | 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 |
File details come from the government source that posted it. Updated .