Diagnose and treat dental irregularities including misaligned teeth and jaws. Median salary in Rapid City: $246K/year. Data from BLS, O*NET, and H-1B disclosures.
Figures represent annual base salary in Rapid City, South Dakota. Reviewed by SalaryOptics Editorial · How we calculate this →
Analysis derived from the salary, COL, tax, and labor-market figures above — specific to this role and city.
Orthodontists in Rapid City earn approximately 12% lower than the US national median for this role — a $34,000 discount on annual base salary. Rapid City's lower wage level partially reflects the area's cost-of-living index of 88 (US avg = 100).
South Dakota has no state income tax, which is worth roughly $22,878 per year at this salary level compared to a California Orthodontist on the same gross pay. A Rapid City Orthodontist would need to earn $271,224 in California to net the same take-home.
Only 0% of Orthodontist positions offer remote flexibility, meaning the Rapid City salary above represents what local employers actually pay — not a remote-anywhere rate. Geographic constraints reinforce the local market, so the salary range above is more directly applicable than for remote-friendly roles.
Based on BLS 2022–2032 Employment Projections and WEF Future of Jobs Report 2026. At current growth rates, median salary reaches $246K by 2030.
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The median Orthodontist salary in Rapid City, SD is $246,000 per year as of Q1 2026. This figure represents the midpoint of all reported compensation for this role in the Rapid City–SD metropolitan area, based on data from the Bureau of Labor Statistics Occupational Employment Statistics, H-1B visa disclosures from the Department of Labor, and O*NET occupational data.
Entry-level Orthodontists in Rapid City with 0–2 years of experience typically earn between $176,000 and $246,000 annually. Mid-career professionals with 3–7 years command $246,000 to $334,000, while senior-level practitioners with 8+ years of experience regularly earn $334,000 to $440,000 or more.
Rapid City has a cost of living index of 88 compared to the US national average of 100. This means your salary goes approximately 12% further in Rapid City than the national average. Crucially, South Dakota has no state income tax — giving Rapid City-based Orthodontists an immediate 3–5% take-home pay advantage over workers in states like California (9.3%) or New York (6.85%).
DMD/DDS + orthodontic residency. 0% of these roles offer some remote flexibility.