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Sean Murphy

Can I write off my $9k dental implant expense if I only make about $24k/year?

I'm so confused about whether I can deduct my dental expenses on next year's taxes. Getting different answers from everyone I ask. My dad insists I can absolutely write off this dental implant as a tax deduction next year, but when I've asked around, some people say I can't because it needs to exceed 7.5% of my AGI (which I think it does?). This implant cost me nearly $9,000 out-of-pocket since my dental insurance didn't cover a single cent of it. I actually dropped that insurance afterward because it was basically just a discount plan that never covered anything I actually needed. The implant was for a middle tooth, so technically I "could" have gone without it, but that's not really realistic. We're talking about $9k, which is more than a third of my annual income of around $24k. That's a huge financial hit for me. Can someone please help me understand if I'll be able to write off this $9k on my taxes for next year? And if I'm wrong and can't deduct it, can you explain why? I was really looking forward to getting some of this money back but now I'm not sure what to expect.

Yes, you should be able to deduct your dental expenses, but there are some important things to understand about medical/dental deductions. Medical and dental expenses are only deductible if you itemize deductions on Schedule A (rather than taking the standard deduction). And you're correct about the 7.5% threshold - you can only deduct the portion of your expenses that exceeds 7.5% of your adjusted gross income. In your case, if your AGI is $24,000, then 7.5% would be $1,800. So you could potentially deduct $7,200 ($9,000 - $1,800). However, here's the catch - for itemizing to make sense, your total itemized deductions (including medical, state taxes, mortgage interest, charitable giving, etc.) would need to exceed the standard deduction, which is $13,850 for single filers for tax year 2025. If all your itemized deductions don't add up to more than that, you'd be better off taking the standard deduction. Do you have other significant deductions you could itemize?

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Wait, I'm confused. So even though the dental expense is more than 7.5% of their income, they might not actually benefit from it because of the standard deduction? That seems really unfair. Also, what if they're not filing as single but as something else?

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You're right that it can seem unfair, but that's how the tax code works. The medical expense deduction only benefits you if you're itemizing deductions, and itemizing only makes sense when your total itemized deductions exceed the standard deduction amount. If they're filing under a different status, the standard deduction would be different - $27,700 for married filing jointly in 2025, for instance, which would make it even harder to benefit from itemizing. However, if they're married, they would use their combined income for the 7.5% calculation, which could change things.

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How accurate is this tool really? I'm always skeptical of these tax services because I've been burned before. Does it actually look at your specific tax situation or just give generic advice? And do you have to pay for it?

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I'm curious how this handles state taxes too. I live in a state with high income tax and I've always itemized because of that, but I never know if I'm doing the medical expense part right. Does it help with state-specific stuff?

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It's actually really accurate because it analyzes your specific documents rather than just giving generic advice. I was skeptical too, but it caught several things my previous tax software missed. It pointed out that combining my dental work with some other medical expenses I hadn't considered deductible put me over the threshold where itemizing made sense. Yes, it definitely handles state taxes too! That's actually one of the best features. It looks at both federal and state rules since they can be different. In my case, my state allowed medical deductions that were more generous than federal, so I was able to get a bigger state refund than I expected.

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I decided to try taxr.ai after seeing it mentioned here, and wow - I'm actually glad I did. I was in a similar situation with about $8k in medical expenses I didn't think I could deduct. The tool analyzed my documents and showed me that with my state tax, property tax, and charitable donations combined with my medical expenses, I was actually better off itemizing by about $1,200! It also explained that even though I wouldn't have qualified based on medical expenses alone, the combination of all my potential deductions made itemizing worthwhile. The step-by-step guidance on documenting everything properly was super helpful too. No more shoebox full of receipts! Definitely recommend it if you're on the fence about whether your dental expenses are deductible in your specific situation.

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If you're struggling to get answers about your dental deduction and need to talk to an actual IRS agent (which I highly recommend for a situation like this), try Claimyr (https://claimyr.com). I was going crazy trying to get through to the IRS phone line for weeks about a similar medical expense question. Their service gets you through to a real IRS agent usually within 15 minutes instead of waiting on hold for hours. They have a demo video here: https://youtu.be/_kiP6q8DX5c that shows how it works. This saved me so much time and frustration. I needed specific guidance on how to document my medical expenses correctly, and the IRS agent I spoke with gave me exact instructions on what forms to use and how to submit everything. Way better than guessing or getting conflicting advice from friends and family.

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How does this even work? The IRS phone lines are notoriously impossible to get through. Are you saying this service somehow jumps the line? That seems too good to be true.

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Sounds like a scam. No way anyone can magically get you through to the IRS faster than anyone else. They probably just keep you on hold themselves and then connect you when they finally get through. Waste of money if you ask me.

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It's not about "jumping the line" - they use an automated system that continually calls and navigates the IRS phone tree until it gets through. Then it connects you when a representative answers. It's basically doing the hold time for you so you don't have to sit there for hours. I was skeptical too, but it's completely legitimate. I didn't have to sit on hold at all - I just got a call back when they connected me with an agent. And getting accurate information directly from the IRS saved me from making a costly mistake on my return. They told me exactly how to document my unusual medical expenses, which was information I couldn't get anywhere else.

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I need to eat my words from my previous comment. After more tax confusion and desperation to figure out my medical deductions, I tried Claimyr and got through to the IRS in about 20 minutes. The agent I spoke with gave me specific information about my situation that none of the online resources or even my tax-savvy friends knew. For the OP's situation, the IRS agent I spoke with explained that besides the 7.5% AGI threshold and itemizing considerations, there are specific documentation requirements for dental procedures this expensive. They need to be considered medically necessary (which an implant for a visible tooth usually qualifies as) and you need to keep very detailed receipts and possibly a letter from your dentist. The peace of mind from getting answers directly from the source was honestly worth it. And I didn't have to waste half a day on hold!

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Don't forget to check if you qualify for the Earned Income Tax Credit (EITC) with that income level! At around $24k/yr, you might be eligible for a decent credit, especially if you have any dependents. Even if the dental deduction doesn't work out, the EITC is refundable, meaning you can get money back even if you don't owe any taxes. It's often overlooked and could be worth more than the dental deduction anyway.

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Thanks for bringing up the EITC! I actually don't have any dependents, it's just me. Would I still qualify? And would that be instead of the dental deduction or in addition to it?

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You can still qualify for EITC without dependents, though the amount is smaller. For 2025, if you're single with no children and income around $24k, you might qualify for a small EITC (around $600-700 depending on your exact income). The EITC is completely separate from the dental deduction issue. You can claim both if you qualify for both. The EITC is a credit while the dental expense would be a deduction if you itemize. Credits directly reduce your tax bill dollar-for-dollar, while deductions just reduce your taxable income, so credits are generally more valuable.

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Has anyone considered that OP might qualify for the medical expense FSA through work? If your employer offers it, you can contribute pre-tax dollars up to $3,200 for 2025. Even though it wouldn't help with expenses already paid, it's something to consider for future medical costs.

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Good point about the FSA, but it sounds like OP might not have benefits if they're making around $24k. Might be part-time or gig work. The FSA is only helpful if you have access to employer benefits.

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