SOLTA DEVELOPMENT LLC
NPI: 1013556471
· LONG BEACH, CA 90804
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 01/03/2020
$307K
Total Medicaid Paid
Provider Details
| Authorized Official | BONZON, TEODULO (ADMINISTRATOR) |
| NPI Enumeration Date | 01/03/2020 |
Related Entities
Other providers sharing the same authorized official: BONZON, TEODULO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
13 |
$38K |
| 2024 |
84 |
$269K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
97 |
88 |
$307K |