Dr. Hanan A. Elsaie DDS,
one of America’s Top Dentists, Consumers’ Research Council of America, Guide to America’s Top Dentists

Dominion 1 Dental - Arlington, TX. Tel: (817) 784-7888

Home services

Patient Resources

At the Dentist - English Conversation At the Dentist - Health English Lessons

Patient Forms

For your convenience we have our new patient forms and consent forms available for printing and completing prior to your visit.

If you have any problem getting these files to print properly, please call our office and we will gladly send or fax them to you.

Dominion 1 Dental - In House Dental Plan

Dominion 1 Dental - English HIPAA - Privacy Policy

Dominion 1 Dental - Spanish HIPAA - Privacy Policy

English - Medical History

Spanish - Medical History

English - -Payment Agreement

Spanish - -Payment Agreement

English - -Registration Form

Spanish - -Registration Form

Nitrous Informed Consent

Post Op Extraction(English)


We are in network with most dental insurances and also offer our patients various payment options. We also offer financial consultations before procedures to discuss best option plans.

We accept and are in network with most PPO insurance plans. Please contact our office to verify acceptance of your plan. We accept checks, cash or credit cards. We are happy to file insurance as a service to you. We also cater to cash patients!

Payment options

We also offer a flexible payment plans ranging from 6 months to 12 months no interest plans and up to 60 months low monthly payment plans upon approval.

CareCredit, the nations leading patient payment program. With CareCredit you can finance 100% of your dental care and there are no upfront costs, no annual fees, and no pre-payment penalties. So, you can begin your treatment today and conveniently pay with low, monthly payments.


mastercard - Most Insurances

- Medicaid/CHIP

- Cash, Checks, Credit Cards

- Care Credit

- Flexible Payment Plans

Special Financing

care-credit-dental Our office also offers and accepts CareCredit to assist you in achieving your cosmetic and dental needs. Upon approval you will have the options of an interest-free payment of either a 3, 6 or 12 month period.

With CareCredit, you pay no up-front costs, no pre-payment penalties and no fees. Plus, CareCredit is a revolving credit line for additional treatment or add-on charges, without the need to re-apply. It only takes a few minutes to apply for CareCredit and you'll receive an online decision in seconds! Apply now or see our staff for more details.