Doctor profile · Federal record
Dr. Matthew Listiyo, DMD
Dentist · Ontario, CA
- NPI 1104472778
- 7 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1361 E 4Th St
Ontario, CA 917643035
(916) 420-3989
Credentials & registration
- NPI registered
- August 2019 — 7 yrs on file
- Profile last updated
- September 19, 2019
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- California #DDS103994
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104472778. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$204
Transactions
18
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| OraPharma, A Division of Bausch Health US, LLC | 16 | $163.45 | |
| Align Technology, INC. | 1 | $27.82 | |
| Dentsply Sirona INC | 1 | $13.20 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
16
Patients
11
Total drug cost
$58
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 16 | 11 | $58 |
Frequently asked questions
What is Dr. Matthew Listiyo's medical specialty?
Dr. Matthew Listiyo practices Dentist in Ontario, CA.
Where does Dr. Matthew Listiyo practice?
Dr. Matthew Listiyo practices at 1361 E 4Th St, Ontario, CA 917643035. Office phone: 9164203989.
What is Dr. Matthew Listiyo's NPI?
Dr. Matthew Listiyo's National Provider Identifier (NPI) is 1104472778, issued by NPPES.