ESBD_435760_1752591637318_Exhibit C_Pricing Sheet.pdf
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- Solicitation number
- HHS0016093v2
- Issued by
- Denton County, Texas
About this file
This document is an Exhibit C Pricing Sheet for a dental services solicitation (Event ID HHSTX-HHS0016093v2) issued by the Health and Human Services Commission (HHSC) Procurement and Contracting Services (PCS) for the Denton State Supported Living Center. The solicitation seeks competitive bids to establish dental service contracts, with a post date of 7/15/2025 and a due date of 07/29/2025. The pricing sheet requires bidders to provide fees for various dental services across multiple categories including General Dentistry, Oral Surgery, and Periodontal services, such as periodic oral evaluations, extractions, scaling, resin treatments, and fluoride varnish applications.
The pricing sheet also includes additional qualification requirements for potential vendors, including having an office within 20 miles of the Denton State Supported Living Center, being affiliated with Texas Health Presbyterian Hospital, and demonstrating 3-5 years of experience working with State Supported Living Center (SSLC) and Intellectual Developmental Disabilities (IDD) clients. Bidders must submit various supporting documents, including a current Texas dental license, company letterhead with additional fees, Exhibit E Bidder Reference and Qualification Form, completed Exhibit C Pricing Sheet, and signed Exhibit A HHS Solicitation Affirmations. Failure to submit certain required documents will result in disqualification of the bid response.
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Exhibit C Pricing Sheet
Event ID Format Type Round Version Respondent: Enter Company Name/VID # Here:
HHSTX-HHS0016093v2 Sell RFx 1 2
Event Name Submit To: HHS Purchasing
See Part A for Submission Instructions
Post Date
United States
Event Currency: US Dollar Contact: Atchley,Cindy Jean
Bids Allowed in Other Currency: No
Event Description
General Questions
What is your fee to provide Periodic Oral Evaluation for General Dentistry services as outlined in Section 7.1.1 of the IFB Solicitation Document?
Solicitation HHS0016093v2 is a repost of Solicitation HHS0016093.
HHSC PCS is seeking competitive bids to establish contract(s) for Dental Services for Denton State Supported Living Center.
Question Response:
Are you able to provide the General Dentistry services as outlined in Section 7.1.1 of the IFB Solicitation Documents?
Dental Services_Denton State Supported Living Cntr
Due Date
7/15/2025 07/29/2025
What is your fee to provide Scaling for General Dentistry services as outlined in Section 7.1.1 of the IFB Solicitation Document?
What is your fee to provide Extractions for General Dentistry services as outlined in Section 7.1.1 of the IFB Solicitation Document?
What is your fee to provide Resin-one surface, anterior for General Dentistry services as outlined in Section 7.1.1 of the IFB Solicitation Document?
What is your fee to provide FTopical Flouride Varnish for General Dentistry services as outlined in Section 7.1.1 of the IFB Solicitation Document?
What is your fee to provide Extraction-Surgical/Erupt Tooth for Oral Surgery services as outlined in Section 7.1.1 of the IFB Solicitation Document?
What is your fee to provide Hospital Call for Oral Surgery services as outlined in Section 7.1.1 of the IFB Solicitation Document?
What is your fee to provide Unspecified Oral Surg Proc, B/R for Oral Surgery services as outlined in Section 7.1.1 of the IFB Solicitation Document?
What is your fee to provide Comprehensive Oral Evaluation for Oral Surgery services as outlined in Section 7.1.1 of the IFB Solicitation Document?
Are you able to provide the Oral Surgery services as outlined in Section 7.1.1 of the IFB Solicitation Documents?
What is your fee to provide Perio Scale/Root Pin-4+per quad for Periodontal services as outlined in Section 7.1.1 of the IFB Solicitation Document?
What is your fee to provide Scaling with gen inflammation for Periodontal services as outlined in Section 7.1.1 of the IFB Solicitation Document?
Are you able to provide the Periodontal services as outlined in Section 7.1.1 of the IFB Solicitation Documents?
What is your fee to provide Alveoloplasty w/ext 1-3 th/quad for Oral Surgery services as outlined in Section 7.1.1 of the IFB Solicitation Document?
What is your fee to provide TMJ Arthogram, incl injection for Periodontal services as outlined in Section 7.1.1 of the IFB Solicitation Document?
Attach a copy of your current license to practice Dentistry in the State of Texas.
What is your fee to provide Tomographic Survey for Periodontal services as outlined in Section 7.1.1 of the IFB Solicitation Document?
What is your fee to provide Extractions impacted/part bony for Periodontal services as outlined in Section 7.1.1 of the IFB Solicitation Document?
What is your fee to provide Comprehensive Perio Evaluation for Periodontal services as outlined in Section
7.1.1 of the IFB Solicitation Document?
Do you have an office within twenty (20) miles of Denton State Supported Living Center, located at 3980 State School Rd, Denton, Texas 76210.
Are you affiliated and credentialed with Texas Health Presbyterian Hospital located at 3000 I-35, Denton, Texas 76201.
Do you have 3-5 years' experience working with State Supported Living Center (SSLC) clients and Intellectual Developmental Disabilities (IDD) clients?
Attach additional fees, on company letterhead, for any additional pricing related to providing dental services.
Attach documentation of Minimum Experience and Qualifications, per Section 7.1.5.
Attach completed Exhibit E Bidder Reference and Qualification Form.
Attach completed Exhibit C Pricing Sheet. Failure to submit will disqualify bid response.
Attach completed and signed Exhibit A HHS Solicitation Affirmations, Pages 1-13. Failure to submit will disqualify bid response.
Attach Public Information Act copy of bid response, if applicable.
Attach completed and signed Addendum Acknowledgement Form(s), if issued.
Attach other information pertinent to demonstrate financial capability, financial solvency and ability to perform and capacity to fulfill the solicitation requirements.
Attach demonstration of the ability to perform by a written description of the size and scope of all operations, including the number of years the Bidder has been in business and the number of employees available to provide customer service, order fulfillment, safe shipping and handling of product and the number of supervisors for each location, as applicable.
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