Revised 20250916 Dental Treatment Pricing Sheet Reno Carson City Area.docx

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Dental Treatment Services for the Nevada Army National Guard
Solicitation number
W9124X25QA015
Issued by

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This document is a Dental Treatment Pricing Sheet for the Nevada Army National Guard dental services in the Reno/Carson City area. The solicitation (RFQ# W9124X-25-Q-A015) seeks a dental treatment provider for an estimated 22 soldiers, with comprehensive pricing established for multiple dental procedures including evaluations, radiographic imaging, fillings, crowns, extractions, root canals, and sedation services. The solicitation is a commercial item request issued under FAR Parts 12 and 13, with a NAICS code of 621210 (Offices of Dentists) and an SBA Size Standard of $9M. Amendment 0001 extended the quote submission deadline to Monday, September 22, 2025 at 8:30 p.m. PDT, and added additional treatment service lines to the original pricing list. The procurement will be awarded using a Trade Off evaluation process, with the goal of selecting the vendor representing the best value to the government.

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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
$
Reno / Carson City Area
Estimated 22 Soldiers

File details come from the government source that posted it. Updated .