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 |
Frequently asked questions
What is Dr. Matthew Liesen's medical specialty?
Dr. Matthew Liesen practices General Practice Dentistry in Peoria, IL.
Where does Dr. Matthew Liesen practice?
Dr. Matthew Liesen practices at 4517 N Rockwood Dr, Peoria, IL 616153841. Office phone: 3096880121.
What is Dr. Matthew Liesen's NPI?
Dr. Matthew Liesen's National Provider Identifier (NPI) is 1619350725, issued by NPPES.