POTENTIALS, LLC
NPI: 1710173802
· ASTORIA, OR 97103
· Community/Behavioral Health Agency
· NPI assigned 09/21/2007
$164K
Total Medicaid Paid
Provider Details
| Authorized Official | DEDOLPH, DANA (DIRECTOR/THERAPIST) |
| NPI Enumeration Date | 09/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
240 |
$33K |
| 2021 |
470 |
$67K |
| 2022 |
447 |
$44K |
| 2023 |
71 |
$5K |
| 2024 |
228 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
925 |
359 |
$132K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
531 |
200 |
$32K |