Revised 20250916 Dental Treatment Pricing Sheet Las Vegas Area.docx
DOCX document 25 KB Posted
- Solicitation number
- W9124X25QA015
About this file
This document is a Dental Treatment Pricing Sheet for the Nevada Army National Guard, detailing fixed-price dental treatment codes for services in the Las Vegas Area. The solicitation (RFQ# W9124X-25-Q-A015) seeks dental treatment services for an estimated 43 soldiers, with a comprehensive list of dental procedures including evaluations, radiographic imaging, fillings, crowns, extractions, root canals, and sedation services. The procurement is classified under NAICS code 621210 (Offices of Dentists) with an SBA Size Standard of $9M, and will be awarded using a Trade Off evaluation process focused on Best Value to the government.
Key solicitation details include an amendment (Amendment 0001) that extended the quote submission deadline to Monday, September 22, 2025 at 8:30 p.m. PDT, and added treatment service lines to the original pricing list. The solicitation is issued by the Nevada Army National Guard (NVARNG) USPFO Purchasing and Contracting Office, following Federal Acquisition Regulation (FAR) Part 12 and 13 guidelines for commercial item procurement. Vendors must complete the SF1449 Solicitation form and provide pricing for the specified dental treatment codes to be considered for award.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Revised 20250916 Dental Treatment Pricing Sheet Reno Carson City Area.docx | DOCX document | |
| Revised 20250916 Dental Treatment Performance Work Statement.docx | DOCX document | |
| Amednment 0001 SF 30.pdf | ||
| Amendment 0001 Questions Answers.docx | DOCX document | |
| Final Dental Treatment Performance Work Statement 20250829.docx | DOCX document | |
| Dental Treatment Pricing Sheet Reno Carson City Area.docx | DOCX document | |
| Solicitation - W9124X25QA015.pdf | ||
| Dental Treatment Pricing Sheet Las Vegas Area.docx | DOCX document |
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Text version
Dental Code
| Description |
| Fixed Price Per Treatment |
| D0140 |
| Limited Oral Evaluation |
| $ |
| D0274 |
| Bitewings – Four Radiographic Images |
| $ |
| D0330 |
| Panoramic Radiographic Image |
| $ |
| D0364 |
| Cone Beam CT |
| $ |
| D2140 |
| Amalgam - 1 surface |
| $ |
| D2150 |
| Amalgam - 2 surfaces |
| $ |
| D2160 |
| Amalgam - 3+ surfaces |
| $ |
| D2330 |
| Anterior Composite - 1 surface |
| $ |
| D2331 |
| Anterior Composite - 2 surfaces |
| $ |
| D2332 |
| Anterior Composite - 3 surfaces |
| $ |
| D2335 |
| Anterior Composite - 4+ surfaces |
| $ |
| D2391 |
| Posterior Composite - 1 surface |
| $ |
| D2392 |
| Posterior Composite - 2 surfaces |
| $ |
| D2393 |
| Posterior Composite - 3 surfaces |
| $ |
| D2750 |
| Crown - Porcelain Fused to High Noble Metal |
| $ |
| D2799 |
| Crown - Full Cast (unspecified) |
| $ |
| D2950 |
| Core Buildup, including pins |
| $ |
| D3110 |
| Pulp cap direct (excluding final restoration) |
| $ |
| D3120 |
| Pulp cap indirect (excluding final restoration) |
| $ |
| D3310 |
| Root Canal - Anterior |
| $ |
| D3320 |
| Root Canal - Bicuspid |
| $ |
| D3330 |
| Root Canal - Molar |
| $ |
| D4341 |
| Periodontal Scaling (4+ teeth/quad) |
| $ |
| D4355 |
| Full Mouth Debridement |
| $ |
| D5821 |
| Interim Partial Denture (Mandibular) |
| $ |
| D5820 |
| Interim Partial Denture |
| $ |
| D7140 |
| Simple Extraction |
| $ |
| D7210 |
| Surgical Removal of Erupted Tooth |
| $ |
| D7220 |
| Removal of Impacted Tooth - Soft Tissue |
| $ |
| D7230 |
| Removal of Impacted Tooth - Partial Bony |
| $ |
| D7240 |
| Complete Bony Impaction Extraction |
| $ |
| D7285 |
| Biopsy of Oral Tissue (Soft) |
| $ |
| D9230 |
| Administration of Nitrous Oxide/Anxiolysis, Analgesia |
| $ |
| D9239 |
| Intravenous Moderate (Conscious) Sedation/Analgesia- First 15 Minutes |
| $ |
| D9243 |
| Intravenous Moderate (Conscious) Sedation/Analgesia – Each 15 Minute Increment |
| $ |
| Las Vegas Area |
| Estimated 43 Soldiers |
File details come from the government source that posted it. Updated .