Doctor profile · Federal record
Dr. MATTHEW LIESEN, DMD
General Practice Dentistry · Public Health Dentist · PEORIA, IL
- NPI 1619350725
- 11 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4517 N ROCKWOOD DR
PEORIA, IL 616153841
(309) 688-0121
fax (309) 688-5643
Credentials & registration
- NPI registered
- July 2015 — 11 yrs on file
- Profile last updated
- July 7, 2021
- Specialty taxonomy
- 1223G0001X — NUCC code
- State licenses (2)
- Illinois #019030226 · Illinois #019.030226
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619350725. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$815
Transactions
16
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| A-dec, Inc. | 4 | $628.99 | |
| Align Technology, Inc. | 9 | $142.38 | |
| Dentsply Sirona Inc | 1 | $15.59 | |
| Peter Brasseler Holdings, LLC | 1 | $14.88 | |
| GC America Inc. | 1 | $13.10 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
101
Patients
61
Total drug cost
$418
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 67 | 43 | $214 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 21 | 18 | $99 |
| Clindamycin Hcl | Generic | 13 | 0 | $104 |