D1 Individual Price Schedule - 36C26023Q0752.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- Boise VA Dental Prosthetics
- Solicitation number
- 36C26023Q0752
About this file
This document contains an individual price schedule for dental prosthetics for the Boise VA Medical Center. It lists 42 line items for various dental restorations and related services, including full metal and ceramic crowns and bridges, implants, abutments, and other miscellaneous items. Estimated quantities are provided for most items, but unit prices are unspecified as this appears to be a template or sample that contractors would use to submit their own fixed pricing. The related federal contract opportunity is solicitation number 36C26023Q0752 for dental prosthetics services through the Boise VA Medical Center, issued by the Department of Veterans Affairs Veterans Health Administration VISN 20. The schedule and solicitation provide information for prospective contractors to understand the scope of products and services required and respond with proposed pricing.
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| File | Type | Posted |
|---|---|---|
| 36C26023Q0752.docx | DOCX document |
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Boise
| D.1 INDIVIDUAL ITEM PRICING SCHEDULE & ESTIMATED QUANTITIES | |||||||
| Boise | |||||||
| Item No. | Description | Estimated Quantities | Unit | CLIN 0001 Unit Price | CLIN 0001 Est. Total Price | CLIN 1001 Unit Price | CLIN 1001 Est. Total Price |
| Full Metal Restorations: | |||||||
| 1 | Full-Cast Crown Inlay/Onlay Yellow Gold | 3 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 2 | Full Gold Crown | 165 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 3 | Full Gold Pontic | 25 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 4 | Post and Core | 2 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 5 | Fit to Partial - Full Gold | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| Ceramic Restorations: | |||||||
| 6 | IPS Empress Esthetic Crown & Bridge | 100 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 7 | IPS Empress Esthetic Veneer | 3 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 8 | IPS Empress Onlay/Inlay | 3 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 9 | IPS Empress Eris Crown and Bridge | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 9A | Zirconia Pontic | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 10 | Zirconia Monolithic Crown | 120 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 11 | LAVA Crown | 30 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 11A | E-max crown | 50 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 11B | E-max pontic | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 11C | E-max vaneer | 5 | EA | $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 |
| 13 | Porcelain Fused to Metal Pontics | 35 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 14 | Porcelain Labial Margins | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 15 | Maryland Bridge (1 Pontic; 2 Wings) | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 16 | Fit to Partial - Porcelain Fused to Metal | 20 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 17 | Metal Occlusal | 20 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| Implants: | |||||||
| 18 | Radio opaque surgical guide | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 19 | Implant diagnostic wax-up | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 20 | Stint/scan appliance with negative space centerlines (includes diagnostic wax-up) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 21 | Centerline stint drill guide | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 22 | Soft tissue model | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 23 | Vendor supplied analogs | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 24 | Abutment design and manufacture (lab supplied) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 25 | Abutment design and manufacture (if cast-to is supplied by us) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 26 | Lava Custom abutment including parts | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 27 | Lab analogs | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 28 | Nobel, 3i, astra custom abutment | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 29 | Atlantis abutments, Ti or Zi | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 30 | Straumann cast-to | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 31 | Replacement abutment screw | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 32 | Opaquing custom abutment | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 33 | Abutment seating index | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 34 | Implant stabilization impression index | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 35 | Centerline stint drill guide | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| Misc. Additional Items: | |||||||
| 36 | Precision Attachment | 5 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 37 | Rest on Crown | 40 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 38 | Guide Plane Separate from Rest | 40 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 39 | Touch pads (Zi or metal) | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 40 | Rainbow bridge connector | 1 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 41 | Under partial matrix (RPD replication) | 10 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| 42 | Diagnostic Wax-Up | 25 | EA | $0.00 | $0.00 | $0.00 | $0.00 |
| CLIN 0001 | CLIN 1001 | ||||||
| $0.00 | $0.00 |
GRAND TOTAL $0.00
File details come from the government source that posted it. Updated .