Dental_Procedures_Price_List.xlsx

XLSX spreadsheet 11 KB Posted

Attached to
Dental Services Guaynabo Federal contract opportunity
Solicitation number
W912LR-16-T-0080
Issued by
Department of the Army Puerto Rico Army National Guard

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Dental Procedures Price List

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QASP.pdf PDF
W912LR-16-T-0080.pdf PDF
Performance_Work_Statement.pdf PDF

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Base Period

W912LR-16-T-0080 DENTAL PRECEDURES PRICE LIST
BASE PERIOD 28 SEP 2016 - 1 AUG 2017
DIAGNOSTIC SERVICES
CODEDESCRIPTIONPRICE
D0120PERIODIC ORAL EVALUATION
D0150COMPREHENSIVE ORAL; EVALUATION
D0330DIGITAL PANORAMIC FILM
D0272BITEWINGS- TWO FILMS
D0274BITEWINGS- FOUR FILMS
D0220PERIAPICAL(FIRST FILMS) LIMITED
D0230PERIAPICAL (LIMITED)
RESTORATIVE
D2140AMALGAM ONE SURFACE
D2150AMALGAM TWO SURFACE
D2160AMALGAM THREE SURFACES
D2161AMALGAM FOUR SURFACES OR MORE
D2330COMPOSITE ONE SURFACE
D2331COMPOSITE TWO SURFACE
D2332COMPOSITE THREE SURFACE
D2335COMPOSITE FOUR SURFACES OR MORE
D2391COMPOSITE ONE SURFACE
D2392COMPOSITE TWO SURFACES
D2393COMPOSITES THREE SURFACES
D2394COMPOSITE FOUR O MORE SURFACES
D2799PROVISONAL CROWN
D2931PREFABRICATED STAINLESS STEEL CROWN
D2950CORE BUILDUP INCLUDING ANY PINS
D2954PREFABRICATED POST AND CORE
ENDODONTIC
D3310ANTERIOR ROOT CANAL THERAPY
D3320BICUSPID ROOT CANAL THERAPY
D3330MOLAR ROOT CANAL THERAPY
D3346ANTERIOR ROOT CANAL RETREATMENT
D3347BICUSPID ROOT CANAL RETREATMENT
D3348MOLAR ROOT CANAL RETREATMENT
D4355FULL MOUTH DEBRIDEMENT
D4342PERIODONTAL SCALING AND ROOT PLANNING
1 TO 3 TEETH PER QUADRANT
PROSTHODONTIC
D5110COMPLETE DENTURE-MAXILLARY
D5120COMPLETE DENTURE- MANDIBULAR
D5211MAXILLARY PARTIAL DENTURE-RESIN BASE
D5212MANDIBULAR PARTIAL DENTURE-RESIN BASE
ORAL SURGERY
D7140EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT
D7210SURGICAL REMOVAL OF ERUPTED TOOTH
D7220REMOVAL OF IMPACTED TOOTH, SOFT TISSUE
D7230REMOVAL OF IMPACTED TOOTH, PARTIAL BONY
D7240REMOVAL OF IMPACTED TOOTH, COMPLETE BONY
ORTHODONTIC
D8680ORTHODONTIC RETENTION

Total $0.00

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