Dr. Michelle Anne Stines , DDS
Dentist - General Practice • Howell, MI
4148 E Grand River Ave
Howell, MI 488436538
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Michelle Stines is listed in NPPES under Dentist - General Practice.
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NPI assigned on November 1, 2006; this date does not establish years in practice.
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Published CMS data list 164 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Amoxicillin — 74 prescription fills, including refills.
- Chlorhexidine Gluconate — 28 prescription fills, including refills.
- Ibuprofen — 24 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 6 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 85% of clinicians listed under Dentist - General Practice in Michigan (2024, 2,011 clinicians with data). Median for this group: 52. Middle half: 27 to 95.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 79 in 2020 to 164 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
4148 E Grand River Ave
Howell, MI 488436538
What Public CMS Data Show
Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
165 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$717 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $49.99 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Howell and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Dentist - General Practice in Michigan (2024, 2,011 clinicians with data). Median for this group: 52. Middle half: 27 to 95.
Too few clinicians listed under Dentist - General Practice in Howell have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Dentist - General Practice in Michigan (2024, 2,011 clinicians with data). Median for this group: $155. Middle half: $74 to $320.
Too few clinicians listed under Dentist - General Practice in Howell have Medicare Part D data for 2024 to compare.
10 active clinicians are listed under Dentist - General Practice with a practice address in Howell, MI (4,095 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 108% from 79 in 2020 to 164 in 2024.
- 2020: 79
- 2021: 119
- 2022: 165
- 2023: 130
- 2024: 164
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30-day fills
30-day fills increased 109% from 79 in 2020 to 165 in 2024.
- 2020: 79
- 2021: 127
- 2022: 165
- 2023: 132
- 2024: 165
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Part D drug cost
Part D drug cost went from $461 in 2020 to $717 in 2024.
- 2020: $461
- 2021: $584
- 2022: $704
- 2023: $526
- 2024: $717
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $27.94 in 2019 to $49.99 in 2025.
- 2019: $27.94
- 2022: $161.45
- 2023: $52.99
- 2024: $49.66
- 2025: $49.99
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $49.99.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| VOCO America Inc. |
Food and Beverage
In-kind items and services
|
VOCO Retraction Paste | General | $49.99 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amoxicillin | Amoxicillin | 74 | 644 | $178.54 | 58 |
| Chlorhexidine Gluconate | Chlorhexidine Gluconate | 28 | 488 | $108.81 | 19 |
| Ibuprofen | Ibuprofen | 24 | 163 | $54.99 | 21 |
| Prevident | Fluoride (Sodium) | 14 | 448 | $261.36 | 11 |
| Clindamycin Hcl | Clindamycin Hcl | 13 | 178 | $83.85 | — |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 11 | 29 | $29.86 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History
NPI enumerated November 01, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Dentist - General Practices in Howell
- Dr. Shant Bedikian, DDS
- Dr. Lauren Morrison, DDS
- Dr. John Papadopoulos, DDS
- Dr. Jacob Thayer, DDS
- Dr. Annette Pargoff Defazio, DDS
- Dr. Thomas Kellogg, DDS
Mailing Address
4148 E Grand River Ave
Howell, MI 488436538
Phone: 5175529210