D1 IndividualPriceSchedule - 36C26022Q0734.xlsx
XLSX spreadsheet 20 KB Posted
- Attached to
- Q503--Roseburg Dental Services
- Solicitation number
- 36C26022Q0734
About this file
This document contains a pricing schedule for dental lab services from Roseburg Dental Services. It lists over 160 individual items for full metal restorations, ceramic restorations, porcelain fused to metal, implants, removable prosthetics including dentures, flexible dentures, implant parts, implant castings, and miscellaneous additional items. Pricing is provided for each item for both CLIN 0001 and CLIN 1001. The related federal contract opportunity is solicitation number 36C26022Q0734 for Dental Lab Services for Roseburg VAMC and its jurisdiction, which is set aside as a small business opportunity in accordance with FAR 19.502-2. The solicitation is from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26022Q0734 0001.docx | DOCX document | |
| 36C26022Q0734 0001_1.docx | DOCX document | |
| D1 Individual Price Schedule - 36C26022Q0734 Amendment 0001.xlsx | XLSX spreadsheet | |
| 36C26022Q0734.docx | DOCX document | |
| D2 Dental Lab QASP - 36C26022Q0734.docx | DOCX document | |
| 36C26022Q0734_1.docx | DOCX document |
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ROSEBURG
| D.1 INDIVIDUAL ITEM PRICING SCHEDULE & ESTIMATED QUANTITIES | |||||||
| ROSEBURG | |||||||
| 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 | 10 | EA | $ | $ | $ | $ |
| 2 | Full Gold Crown | 250 | EA | $ | $ | $ | $ |
| 3 | Full Gold Pontic | 50 | EA | $ | $ | $ | $ |
| 4 | Post and Core | 10 | EA | $ | $ | $ | $ |
| 5 | Fit to Partial - Full Gold | 10 | EA | $ | $ | $ | $ |
| Ceramic Restorations: | |||||||
| 6 | IPS Empress Esthetic Crown & Bridge | 100 | EA | $ | $ | $ | $ |
| 7 | IPS Empress Esthetic Veneer | 20 | EA | $ | $ | $ | $ |
| 8 | IPS Empress Onlay/Inlay | 5 | EA | $ | $ | $ | $ |
| 9 | IPS Empress Eris Crown and Bridge | 20 | EA | $ | $ | $ | $ |
| 9A | Zirconia Pontic | 20 | EA | $ | $ | $ | $ |
| 10 | Zirconia Monolithic Crown | 200 | EA | $ | $ | $ | $ |
| 11 | LAVA Crown | 30 | EA | $ | $ | $ | $ |
| 11A | E-max crown | 100 | EA | $ | $ | $ | $ |
| 11B | E-max pontic | 25 | EA | $ | $ | $ | $ |
| 11C | E-max vaneer | 15 | EA | $ | $ | $ | $ |
| Porcelain Fused to Metal: | |||||||
| 12 | Porcelain to Metal | 250 | EA | $ | $ | $ | $ |
| 13 | Porcelain Fused to Metal Pontics | 100 | EA | $ | $ | $ | $ |
| 14 | Porcelain Labial Margins | 25 | EA | $ | $ | $ | $ |
| 15 | Maryland Bridge (1 Pontic; 2 Wings) | 5 | EA | $ | $ | $ | $ |
| 16 | Fit to Partial - Porcelain Fused to Metal | 20 | EA | $ | $ | $ | $ |
| 17 | Metal Occlusal | 20 | EA | $ | $ | $ | $ |
| Implants: | |||||||
| 18 | Radio opaque surgical guide | 1 | EA | $ | $ | $ | $ |
| 19 | Implant diagnostic wax-up | 1 | EA | $ | $ | $ | $ |
| 20 | Stint/scan appliance with negative space centerlines (includes diagnostic wax-up) | 1 | EA | $ | $ | $ | $ |
| 21 | Centerline stint drill guide | 1 | EA | $ | $ | $ | $ |
| 22 | Soft tissue model | 1 | EA | $ | $ | $ | $ |
| 23 | Vendor supplied analogs | 1 | EA | $ | $ | $ | $ |
| 24 | Abutment design and manufacture (lab supplied) | 1 | EA | $ | $ | $ | $ |
| 25 | Abutment design and manufacture (if cast-to is supplied by us) | 1 | EA | $ | $ | $ | $ |
| 26 | Lava Custom abutment including parts | 1 | EA | $ | $ | $ | $ |
| 27 | Lab analogs | 1 | EA | $ | $ | $ | $ |
| 28 | Nobel, 3i, astra custom abutment | 1 | EA | $ | $ | $ | $ |
| 29 | Atlantis abutments, Ti or Zi | 1 | EA | $ | $ | $ | $ |
| 30 | Straumann cast-to | 1 | EA | $ | $ | $ | $ |
| 31 | Replacement abutment screw | 1 | EA | $ | $ | $ | $ |
| 32 | Opaquing custom abutment | 1 | EA | $ | $ | $ | $ |
| 33 | Abutment seating index | 1 | EA | $ | $ | $ | $ |
| 34 | Implant stabilization impression index | 1 | EA | $ | $ | $ | $ |
| 35 | Centerline stint drill guide | 1 | EA | $ | $ | $ | $ |
| Misc. Additional Items: | |||||||
| 36 | Precision Attachment | 10 | EA | $ | $ | $ | $ |
| 37 | Rest on Crown | 40 | EA | $ | $ | $ | $ |
| 38 | Guide Plane Separate from Rest | 40 | EA | $ | $ | $ | $ |
| 39 | Touch pads (Zi or metal) | 1 | EA | $ | $ | $ | $ |
| 40 | Rainbow bridge connector | 1 | EA | $ | $ | $ | $ |
| 41 | Under partial matrix (RPD replication) | 10 | EA | $ | $ | $ | $ |
| 42 | Diagnostic Wax-Up | 25 | EA | $ | $ | $ | $ |
| Item No. | Description- Removable Prosthetics | Unit | |||||
| Dentures (including immediate full dentures) | |||||||
| 43 | Full Denture complete(Max. or man, not Including Teeth) | 100 | EA | $ | $ | $ | $ |
| 44 | Denture Set Up (Try In) | 100 | EA | $ | $ | $ | $ |
| 45 | Denture Processing/finishing | 100 | EA | $ | $ | $ | $ |
| 46 | Base plate/bite rim | 100 | EA | $ | $ | $ | $ |
| 47 | Reline complete denture | 100 | EA | $ | $ | $ | $ |
| 48 | Model (bead, box, pour, trim) | 50 | EA | $ | $ | $ | $ |
| 49 | Rebase Complete Denture | 20 | EA | $ | $ | $ | $ |
| 50 | Duplicate Denture | 20 | EA | $ | $ | $ | $ |
| 51 | Removable Partial Dentures | 100 | EA | $ | $ | $ | $ |
| 52 | Vitallium/Vitallium 2000 Partial Frame Only | 100 | EA | $ | $ | $ | $ |
| 53 | Labial Hinge and Latch | 1 | EA | $ | $ | $ | $ |
| 54 | Denture ID | 200 | EA | $ | $ | $ | $ |
| 55 | Stress Breaker | 5 | EA | $ | $ | $ | $ |
| 56 | Cast Wire Clasp | 25 | EA | $ | $ | $ | $ |
| 57 | Partial Wax-Up Try In | 50 | EA | $ | $ | $ | $ |
| 58 | Process Partial (per saddle) | 55 | EA | $ | $ | $ | $ |
| 59 | Reline Removable Partial Denture (per saddle) | 50 | EA | $ | $ | $ | $ |
| 60 | Add Tooth to Removable Partial Denture | 50 | EA | $ | $ | $ | $ |
| 61 | Add Wrought Wire Clasp to Partial | 25 | EA | $ | $ | $ | $ |
| 62 | Thermoflex clasp | 10 | EA | $ | $ | $ | $ |
| 63 | Weld RPD (add clasp, add tooth, etc) | 10 | EA | $ | $ | $ | $ |
| 64 | RPD bite block (per saddle) | 50 | 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) | 5 | EA | $ | $ | $ | $ |
| 69 | Flipper Cold Cure (Interim partial denture, stayplate; not including teeth) | 15 | EA | $ | $ | $ | $ |
| 70 | Flipper Heat Cure (Interim partial denture, stayplate; not including teeth) | 15 | EA | $ | $ | $ | $ |
| Implants | |||||||
| 71 | Set implant denture (not including teeth) | 1 | EA | $ | $ | $ | $ |
| 72 | Set up attachment case (not including teeth) | 1 | EA | $ | $ | $ | $ |
| 73 | Process/finish implant denture | 1 | EA | $ | $ | $ | $ |
| 74 | Process/finish attachment case | 1 | EA | $ | $ | $ | $ |
| 75 | Add implant on model | 1 | EA | $ | $ | $ | $ |
| 76 | Drill sleeve | 1 | EA | $ | $ | $ | $ |
| 77 | Drill stint | 1 | EA | $ | $ | $ | $ |
| 78 | Reline with attachment | 1 | EA | $ | $ | $ | $ |
| Implant Parts | |||||||
| 79 | Abutment screw | 1 | EA | $ | $ | $ | $ |
| 80 | Abutment-UCLA-gold | 1 | EA | $ | $ | $ | $ |
| 81 | Analog | 1 | EA | $ | $ | $ | $ |
| 82 | Analog-3I | 1 | EA | $ | $ | $ | $ |
| 83 | Analog-Strauman | 1 | EA | $ | $ | $ | $ |
| 84 | Delivery screw | 1 | EA | $ | $ | $ | $ |
| 85 | ERA male only | 1 | EA | $ | $ | $ | $ |
| 86 | ERA RV housing | 1 | EA | $ | $ | $ | $ |
| 87 | Gingihue abutment | 1 | EA | $ | $ | $ | $ |
| 88 | Gold coping multi-unit | 1 | EA | $ | $ | $ | $ |
| 89 | Gold cylinder | 5 | EA | $ | $ | $ | $ |
| 90 | Hader clip | 1 | EA | $ | $ | $ | $ |
| 91 | Hader Housing | 1 | EA | $ | $ | $ | $ |
| 92 | Lab screw | 1 | EA | $ | $ | $ | $ |
| 93 | Locator abutment head | 1 | EA | $ | $ | $ | $ |
| 94 | Locator housing | 1 | EA | $ | $ | $ | $ |
| 95 | Locator impression coping | 1 | EA | $ | $ | $ | $ |
| 96 | Locator males | 1 | EA | $ | $ | $ | $ |
| 97 | Plastic clip | 1 | EA | $ | $ | $ | $ |
| Implant Castings | |||||||
| 98 | Attachment weld | 1 | EA | $ | $ | $ | $ |
| 99 | CAD CAM | 1 | EA | $ | $ | $ | $ |
| 100 | Cantilever Bar ext. | 1 | EA | $ | $ | $ | $ |
| 101 | Dual Frame Locator | 1 | EA | $ | $ | $ | $ |
| 102 | Fixed Detachable Bar | 1 | EA | $ | $ | $ | $ |
| 103 | Hard weld | 1 | EA | $ | $ | $ | $ |
| 104 | Hybrid framework | 1 | EA | $ | $ | $ | $ |
| 105 | Implant bar | 1 | EA | $ | $ | $ | $ |
| 106 | Implant single abutment | 1 | EA | $ | $ | $ | $ |
| 107 | Mill implant bar | 1 | EA | $ | $ | $ | $ |
| 108 | Mill lingual | 1 | EA | $ | $ | $ | $ |
| 109 | Threaded castable post | 1 | EA | $ | $ | $ | $ |
| Misc Implant | |||||||
| 110 | Nobel guide model | 1 | EA | $ | $ | $ | $ |
| 111 | Nobel guide stent | 1 | EA | $ | $ | $ | $ |
| 112 | Nobel temporary bridge | 1 | EA | $ | $ | $ | $ |
| Flexible Dentures | |||||||
| 113 | Flexite Partial (not including teeth) | 75 | EA | $ | $ | $ | $ |
| 114 | Valplast RPD (not including teeth | 100 | EA | $ | $ | $ | $ |
| 115 | Clasp Added to Existing Frame | 25 | EA | $ | $ | $ | $ |
| Denture Teeth | |||||||
| 116 | Anterior Teeth, Ivoclar Phonares (1 x 6) | 100 | EA | $ | $ | $ | $ |
| 117 | Posterior Teeth, Ivoclar Phonares (1 x 8) | 100 | EA | $ | $ | $ | $ |
| 118 | Anterior Teeth, Ivoclar Blue-Line(1 x 6) | 100 | EA | $ | $ | $ | $ |
| 119 | Posterior Teeth, Ivoclar Blue-Line(1 x 8) | 100 | EA | $ | $ | $ | $ |
| 120 | Anterior Teeth, Ivoclar Ivostar (1 x 6) | 100 | EA | $ | $ | $ | $ |
| 121 | Posterior Teeth, Ivoclar Nathostar(1 x 8) | 10 | EA | $ | $ | $ | $ |
| 122 | Anterior Teeth, Ivoclar Phonares(per tooth) | 10 | EA | $ | $ | $ | $ |
| 123 | Posterior Teeth, Ivoclar Phonares(per tooth) | 10 | EA | $ | $ | $ | $ |
| 124 | Anterior Teeth, Ivoclar Blue-Line(per tooth) | 10 | EA | $ | $ | $ | $ |
| 125 | Posterior Teeth, Ivoclar Blue-Line(per tooth) | 10 | EA | $ | $ | $ | $ |
| 126 | Anterior Teeth, Ivoclar Ivostar(per tooth) | 10 | EA | $ | $ | $ | $ |
| 127 | Posterior Teeth, Ivoclar Nathostar (per tooth) | 10 | EA | $ | $ | $ | $ |
| Misc. Additional Items | |||||||
| 128 | Rebase Denture | 10 | EA | $ | $ | $ | $ |
| 129 | Custom tray | 250 | EA | $ | $ | $ | $ |
| 130 | Brux-eze | 10 | EA | $ | $ | $ | $ |
| 131 | Therma Flex night guard | 1 | EA | $ | $ | $ | $ |
| 132 | Hard night guard | 1 | EA | $ | $ | $ | $ |
| 133 | Set Up Per Tooth | 1 | EA | $ | $ | $ | $ |
| 134 | Wire Clasp C | 1 | EA | $ | $ | $ | $ |
| 135 | Ball Clasp | 1 | EA | $ | $ | $ | $ |
| 136 | Weld | 1 | EA | $ | $ | $ | $ |
| 137 | Additional Weld | 1 | EA | $ | $ | $ | $ |
| 138 | Process clear base | 1 | EA | $ | $ | $ | $ |
| 139 | Metal Backing | 1 | EA | $ | $ | $ | $ |
| 140 | Set Attachment | 1 | EA | $ | $ | $ | $ |
| 141 | P.D. Attachment | 1 | EA | $ | $ | $ | $ |
| 142 | Complex acrylic repair | 1 | EA | $ | $ | $ | $ |
| 143 | Repair Fracture | 1 | EA | $ | $ | $ | $ |
| 144 | Replace existing tooth | 1 | EA | $ | $ | $ | $ |
| 145 | Cure Attachment to Partial/Denture | 1 | EA | $ | $ | $ | $ |
| 146 | Add Wire Mesh | 1 | EA | $ | $ | $ | $ |
| 147 | Add Strengthener Bar | 1 | EA | $ | $ | $ | $ |
| 148 | Clear/Flexible Clasp | 1 | EA | $ | $ | $ | $ |
| 149 | Over-Denture Tooth Gasket | 1 | EA | $ | $ | $ | $ |
| 150 | TMJ Guard | 1 | EA | $ | $ | $ | $ |
| 151 | Gnatho Splint | 1 | EA | $ | $ | $ | $ |
| 152 | Essix Splint | 1 | EA | $ | $ | $ | $ |
| 153 | Talon Splint | 1 | EA | $ | $ | $ | $ |
| 156 | TAP Appliance | 1 | EA | $ | $ | $ | $ |
| 157 | I Dent guide | 1 | EA | $ | $ | $ | $ |
| 158 | Implant model surgery | 1 | EA | $ | $ | $ | $ |
| 159 | Map and Wax for implant placement | 1 | EA | $ | $ | $ | $ |
| 160 | Surgical Stint | 1 | EA | $ | $ | $ | $ |
| 161 | Optional sleep apnea appliance | 1 | EA | $ | $ | $ | $ |
File details come from the government source that posted it. Updated .