Attachment 4 - Price Schedule_ver2.xlsx

XLSX spreadsheet 102 KB Posted Jan 12, 2026

Attached to: Amended - FYSU Fixed Removable Dental Laboratory Services
Solicitation number: IHS1519511
Issued by: Department of Health and Human Services Indian Health Service

About this file

Written by GovTribe AI · Jan 12, 2026

The file is a Price Schedule (Attachment 4) for a dental laboratory services contract with the Indian Health Service (IHS) at the Fort Yuma Health Center. The comprehensive pricing template covers an extensive range of dental prosthetic services including crowns, bridges, implant restorations, veneers, custom abutments, full dentures, partial dentures, and additional appliances like nightguards and retainers. The contract structure includes one base year and four 12-month option periods, with pricing to be submitted for each period across multiple dental restoration categories.

The solicitation is a Request for Quotations (RFQ) for fixed and removable dental laboratory services, anticipating multiple-award Indefinite Delivery/Indefinite Quantity (IDIQ) contracts. Key requirements include fabricating dental prostheses using approved materials, providing a one-year warranty on completed prostheses, performing no-cost remakes when clinically justified, and supporting digital and traditional impression technologies. Contractors must meet performance standards for quality, turnaround time, HIPAA compliance, and advanced scanning/milling capabilities. The government will not guarantee a minimum volume of cases, and shipping costs from the Service Unit to the contractor will be the laboratory's responsibility.

View the file

Other files

File	Type	Posted
Q n A.pdf	PDF	Jan 12, 2026
Attachment 2 - IDIQ Clauses Provisions.pdf	PDF	Jan 12, 2026
Attachment 4 - Price Schedule_Rev.xlsx	XLSX spreadsheet	Dec 19, 2025
Attachment 3 - Statement of Work.pdf	PDF	Dec 18, 2025
Attachment 2 - Clauses and Provisions.pdf	PDF	Dec 18, 2025
Attachment 6 - 2025 Hospital - Phoenix Area Indian Health Service.pdf	PDF	Dec 18, 2025
Attachment 5 - Wage Determination Imperial County.pdf	PDF	Dec 18, 2025
Attachment 4 - Price Schedule.xlsx	XLSX spreadsheet	Dec 18, 2025
Attachment 1 - Synopsis.pdf	PDF	Dec 18, 2025

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Sheet1

	Price Schedule
	PROJECT TITLE: Dental Laboratory
	Detailed Price Summary
	Note: This template can be modified based on the contract type (i.e. Firm Fixed Price, Time and Materials, and Cost Reimburesment)
	Contract Line Item Description	Base Period				Option Year One				Option Year Two				Option Year Three				Option Year Four
		Quantity	Unit	Unit Price	Total Price	Quantity	Unit	Unit Price	Total Price	Quantity	Unit	Unit Price	Total Price	Quantity	Unit	Unit Price	Total Price	Quantity	Unit	Unit Price	Total Price
	Crown & Bridge
	PFMS				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Porcelain Fused to Metal - Non-Precious	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain Fused to Metal - White Noble	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain Fused to Metal - White High Noble	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain fused to OcclusalGold™	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	with metal occlusal	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Miscellaneous PFM
	Bridge/connector joint	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain labial margin	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Full 360° Porcelain margin	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	FULL-CAST
	Noble-Cast 45 (45% Au, yellow noble)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Inlay pricing	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Noble-Cast 60 (57.5% Au, yellow high noble)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Inlay pricing	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	White High Noble (40% Au, 39.4% Pd; white high noble)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Inlay pricing	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	White Noble Metal	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Inlay pricing	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BRUXZIR® ZIRCONIA
	BruxZir® Full-Strength Zirconia	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Model-Free Digital BruxZir Full-Strength Zirconia	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	COMPOSITE RESTORATIONS				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Composite
Available for crowns, veneers, inlays and onlays.	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Composite with fiber reinforcement
Available for crowns, veneers, inlays and onlays.	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Composite Maryland Bridge
(Includes 2 wings and 1 pantie)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Veneers
	Veneers
	IPS e.max veneer	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BruxZir Radiant veneer	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	veneer	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BruxZir Esthetic veneer	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Layered IPS e.max veneer	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Layered BruxZir Radiant veneer	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	DIAGNOSTIC WAX-UP
	Diagnostic Wax-Up (per unit)
Includes temporary matrix, prepared tooth model and prep guide.	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	SOFT-TISSUE MODEL
	Soft-tissue model			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0
	Implant Restorations
	CUSTOM ABUTMENTS
	Titanium custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	from digital file	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Gold-Tone Titanium abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	from digital file	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Hybrid Zirconia abutment with Ti-Base	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	from digital file	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BIOMET 3i™Encode® Titanium abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BIOMET 3i™ Encode® Gold-Colored Nitride-Coated Titanium abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BIOMET 3i™ Encode® Hybrid Zirconia Abutment with Ti-Base	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Gold alloy implant abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Prepare existing implant abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	CUSTOM ABUTMENT WITH RESTORATION
	BruxZir Full-Strength crown with custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BruxZir Esthetic crown with custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	IPS e.max crown with custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Bilayered Clinical Zirconia crown with custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	DIGITAL IMPLANT CASE SAVINGS
	Digital BruxZir, AII-Ceramic or IPS e.max implant crown & bridge case without model work (deduct/unit)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Digital Titanium, Gold-Tone Titanium or Zirconia Abutment with Ti Base (deduct/unit)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Digital screw-retained BruxZir, Obsidian AII-Ceramic or IPS e.max crown & bridge cases without model work (deduct/unit)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	3D-printed implant model with digital analog(s) and soft-tissue material, quadrant model	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	3D-printed implant model with digital analog(s) and soft-tissue material, full-arch model	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	RESTORATIONS OVER IMPLANTS
	BRUXZIR FULL-STRENGTH
	BruxZir Full-Strength over stock abutment in mouth	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BruxZir Full-Strength over custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BruxZir Full-Strength over stock abutment analog	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BruxZir Full-Strength screw-retained	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BRUXZIR ESTHETIC
	BruxZir Esthetic over stock abutment in mouth	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BruxZir Esthetic over custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BruxZir Esthetic over stock abutment analog	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BruxZir Esthetic screw-retained	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	IPS E.MAX
	IPS e.max over stock abutment in mouth	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	IPS e.max over custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	IPS e.max over stock abutment analog	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	IPS e.max screw-retained	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Bl LAYERED CLINICAL ZIRCONIA
	Bilayered Clinical Zirconia over stock abutment in mouth	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Bilayered Clinical Zirconia over custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Bilayered Clinical Zirconia over stock abutment analog	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Bilayered Clinical Zirconia screw-retained	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	PORCELAIN ALL-CERAMIC
	All-Ceramic over stock abutment in mouth	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	All-Ceramic over custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	All-Ceramic over stock abutment analog	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	All-Ceramic screw-retained	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	PORCELAIN FUSED TO NON-PRECIOUS
	Porcelain Fused to Non-Precious over stock abutment in mouth	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain Fused to Non-Precious over custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain Fused to Non-Precious over stock abutment analog	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain FUSED TO WHITE NOBLE
	Porcelain Fused to White Noble over stock abutment in mouth	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain Fused to White Noble over custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain Fused to White Noble over stock abutment analog	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain Fused to White Noble screw-retained	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain FUSED TO WHITE HIGH NOBLE
	Porcelain Fused to White High Noble over stock abutment in mouth	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain Fused to White High Noble over custom abutment	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain Fused to White High Noble over stock abutment analog	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Porcelain Fused to White High Noble screw-retained	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	IMPLANT REMOVABLE & FIXED-REMOVABLE
	BruxZir Full-Arch Implant Prosthesis	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Copy mill from approved setup for provisional and full-arch zirconia prosthesis	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Copy mill from approved setup for full-arch zirconia prosthesis	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Duplicate Provisional Try-In Implant Prosthesis (copy mill cases)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	With titanium bar - total price (zirconia prosthesis over hybrid bar)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BruxZir Esthetic Full-Arch Implant Prosthesis	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Copy mill from approved setup for provisional and full-arch zirconia prosthesis	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Copy mill from approved setup for full-arch zirconia prosthesis	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Duplicate Provisional Try-In Implant Prosthesis (copy mill cases)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	With titanium bar - total price (zirconia prosthesis over hybrid bar)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Screw-Retained Hybrid Denture
Includes CAD/CAM-milled titanium bar and final denture with premium denture teeth	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BioTemps Provisionals	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BioTemps rush case	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BioTemps cement over implant	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BioTemps with cast-metal substructure	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BioTemps with cast-metal substructure over implant	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	BioTemps screw-retained over implant	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Wire or Kevlar® reinforcement	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Transition Crowns & Bridges®	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Transition Crowns & Bridges cement over implant	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Transition Crowns & Bridges screw-retained	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Smile Transitions™	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Smile Transitions	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Smile Transitions (arch) (includes 2 identical appliances)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Smile Transitions (quadrant) (includes 2 identical appliances)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	ADDITIONAL APPLIANCES
	Semiflexible nightguard	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Soft nightguard	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Bleaching tray	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Gelb appliance (includes 2 ball clasps)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Thermoform acrylic buildup	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	RETAINERS
	Hawley retainer	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Essix® retainer	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Clear ortho retainer	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Bonded lingual retainer	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Removables
	FLEXIBLE PARTIALS
	Valplast® partial denture	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	tcs® partial denture	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	DuraFlex™partial denture	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Acetal partial (CAD/CAM-milled)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Flexible partial process/finish (your setup)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Flexible partial rebase	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Flexible partial repair	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Custom tray	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	METAL PARTIALS
	Partial with SLM	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	with tcs or Valplast clasps	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	SLM frame only	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Composite facing on metal backing	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Custom tray	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	PARTIALS WITH CROWNS CASES
	Contour crown for future metal partial	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Contour crown for future Valplast partial/stayplate	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Adapt crown to existing partial	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Labor on PFM attachment (plus attachment cost)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Labor on RPO or denture attachment (plus attachment cost)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Contour crown for rotational path design	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Occlusal or cingulum rest only	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Combination design service	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Epoxy master model	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	FULL DENTURES & FLIPPERS
	Handcrafted Denture
Includes hand-waxed try-in and Kenson teeth.	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Digital Denture Digitally designed and 3D-printed appliance. Includes 3D-printed try-in. Design files are stored for 5 years.	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Immediate Denture
Digitally designed and 3D-printed appliance. Straight to finish, no try-in included.	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Immediate Denture
Handcrafted appliance. Includes hand-waxed try-in and Kenson teeth.	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Copy Denture Duplicated from a scan or existing denture. 3D-printed appliance. Straight to finish, no try-in included. Design flies are stored for 5 years.	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Copy Denture Duplicated from a scan or existing denture. 3D-printed appliance. Includes 3D-printed try-in. Design files are stored for 5 years.	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Denture soft liner	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Acrylic reline	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Acrylic flipper	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Up to 3 teeth, 2 wire or ball clasps	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	From 4 to 7 teeth, up to 3 wire or ball clasps	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	From 8 to 10 teeth, unlimited wire or ball clasps	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Wire or ball clasp	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Clear-FlipTM (7-3 teeth, 2 clear clasps)	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	4- 7 teeth, 2 clear clasps	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	8-10 teeth, 2 clear clasps	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Clear clasp	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	11-13 teeth, 2 clear clasps	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	CrCo Partial denture	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Name on full or partial denture	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Custom tray	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0	1.00	EA	$ - 0	$ - 0
	Line Item Subtotal				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Fringe Benefits				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Subtotal Line Item & Fringe				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Overhead				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Subtotal Line Items, Fringe and Overhead				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	ODC's
	Travel				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Subcontracts				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Consultants				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Materials				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	CDs				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Subtotal ODCs				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Subtotal - All Costs				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	G&A				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Total Cost				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Fee/Profit				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	Total Estimated Yearly Values				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
	TOTAL ESTIMATED VALUE OF CONTRACT	$ - 0

Assumptions:	Percent
Inflation Rate Per Year	0.00%
Fringe Benefits Rate	0.00%
Overhead Rate	0.00%
G&A Rate	0.00%
Fee/Profit Percentage	0.00%

&F&D&T

File details come from the government source that posted it. Updated Jan 12, 2026.