Patient Info

At Dassani Dentistry, we strive to work with all our patients, as best as possible. This includes easy appointment scheduling, assisting with insurance and offering flexible payment options.
Dassani Dental Patient Info

Appointments

Dr. Dassani knows that life can get busy, so we’ve made scheduling appointment easy. You can request an appointment online, just click here.

Should you need to cancel or reschedule your appointment with our Clear Lake office for any reason, please call us as soon as possible.

Patient Forms

To submit forms Online use the following form

Online Patient Forms

*If you are coming for a Sleep Apnea appointment please go to our Sleep Apnea page and fill out the online forms there!

To Download and Print use the following forms

Patient Registration & Medical HistoryFinancial ArrangementsPrivacy PolicyPhotographic ReleaseConsent For Treatment

Insurance and Billing

Dassani Dentistry accepts and works with most major insurance providers. While dental insurance is an agreement between you and your carrier, we will help by filing your claim and ensuring that you receive the maximum benefits. Additionally, we accept direct payments from most insurance carriers. We will estimate your deductible, which will be due at the time of service. You are responsible for your total obligation should your insurance benefits result in less coverage than expected. Insurance claims denied or unpaid after 60 days are the responsibility of the patient.

Payment Options

We accept cash, personal checks and major credit cards Visa, MasterCard and Discover. All payments are expected at the time of service. If charges exceed $5000, a 5% courtesy will be extended for full payments made in advance. For more extensive necessary dental care, financial arrangements may be made with the office.

Financing Options

At Dassani Dentistry, we believe that quality dental care should be affordable and accessible to everyone. That’s why we’re proud to offer an in-house savings plan, and partner with third party financing companies to help our patients get the care they need, without breaking the bank.

CareCredit®

carecredit_logoCareCredit® is one of the leading healthcare credit cards, and is accepted at over 175,000 providers nationwide. CareCredit® works just like any other credit card, but is used strictly for healthcare expenses, including dentistry. Pay upfront for necessary procedures, and make affordable monthly payments that work with your budget. CareCredit® financing is flexible, convenient, and the application process is simple.

Compassionate Finance®

Compassionate_FinanceCompassionate Finance® is a turn-key, fully managed financing program that helps patients get the care they need, affordably. Applications are processed within seconds, and patients can almost instantly get a down payment to cover hard costs, and set up a flexible payment plan that works with their budget. Don’t let financing get in the way of your oral health, ask us about Compassionate Finance® today.

Lending Club®

lending clubLending Club® is the world’s largest online marketplace. Lending Club® partners with doctors and practices like ours to help make patient financing easy and affordable. Lending Club® offers low fees, quality plans, and high approval rates.

Proudly serving the Houston, Webster, Clear Lake, League City, and Friendswood communities.

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Proudly Serving

Clear Lake, Friendswood, League City, Webster, and Houston communities