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Added for dental health but excessive levels cause bone problems. Below are US cities ranked by their measured Fluoride levels compared to EPA limits. Higher percentages indicate greater concern.
Vulnerable Populations: Infants and young children most susceptible to dental fluorosis. People with kidney problems may accumulate fluoride.
Ranked by percentage of EPA limit. Click any city for full water quality report.
| Rank | City | State | Level | EPA Limit | % of Limit | Status | Population |
|---|---|---|---|---|---|---|---|
| #1 | Lake Forest | California | 1.491 ppm | 4.000 ppm | 37.3% | Within Limit | 86,093 |
| #2 | Cape Coral | Florida | 1.487 ppm | 4.000 ppm | 37.2% | Within Limit | 190,445 |
| #3 | Carlsbad | California | 1.483 ppm | 4.000 ppm | 37.1% | Within Limit | 112,923 |
| #4 | Belleville | Illinois | 1.480 ppm | 4.000 ppm | 37.0% | Within Limit | 39,285 |
| #5 | Woburn | Massachusetts | 1.472 ppm | 4.000 ppm | 36.8% | Within Limit | 46,245 |
| #6 | Golden | Colorado | 1.474 ppm | 4.000 ppm | 36.8% | Within Limit | 24,159 |
| #7 | Natchitoches | Louisiana | 1.463 ppm | 4.000 ppm | 36.6% | Within Limit | 14,022 |
| #8 | Lancaster | California | 1.461 ppm | 4.000 ppm | 36.5% | Within Limit | 171,042 |
| #9 | Arvada | Colorado | 1.446 ppm | 4.000 ppm | 36.2% | Within Limit | 122,991 |
| #10 | Carrollton | Georgia | 1.444 ppm | 4.000 ppm | 36.1% | Within Limit | 26,337 |
| #11 | Goodyear | Arizona | 1.436 ppm | 4.000 ppm | 35.9% | Within Limit | 88,803 |
| #12 | Valdosta | Georgia | 1.430 ppm | 4.000 ppm | 35.8% | Within Limit | 53,099 |
| #13 | Lewiston | Idaho | 1.428 ppm | 4.000 ppm | 35.7% | Within Limit | 36,802 |
| #14 | Florence | Kentucky | 1.429 ppm | 4.000 ppm | 35.7% | Within Limit | 37,377 |
| #15 | Skokie | Illinois | 1.423 ppm | 4.000 ppm | 35.6% | Within Limit | 70,466 |
| #16 | Garden Grove | California | 1.424 ppm | 4.000 ppm | 35.6% | Within Limit | 176,920 |
| #17 | Kissimmee | Florida | 1.415 ppm | 4.000 ppm | 35.4% | Within Limit | 75,961 |
| #18 | Juneau | Alaska | 1.407 ppm | 4.000 ppm | 35.2% | Within Limit | 31,466 |
| #19 | St. Petersburg | Florida | 1.409 ppm | 4.000 ppm | 35.2% | Within Limit | 255,045 |
| #20 | Margate | Florida | 1.395 ppm | 4.000 ppm | 34.9% | Within Limit | 54,305 |
| #21 | Germantown | Maryland | 1.390 ppm | 4.000 ppm | 34.7% | Within Limit | 95,954 |
| #22 | New Haven | Connecticut | 1.382 ppm | 4.000 ppm | 34.6% | Within Limit | 134,338 |
| #23 | Woodland | California | 1.384 ppm | 4.000 ppm | 34.6% | Within Limit | 65,033 |
| #24 | Aurora | Colorado | 1.381 ppm | 4.000 ppm | 34.5% | Within Limit | 386,506 |
| #25 | Chicopee | Massachusetts | 1.373 ppm | 4.000 ppm | 34.3% | Within Limit | 59,857 |
| #26 | Michigan City | Indiana | 1.372 ppm | 4.000 ppm | 34.3% | Within Limit | 28,299 |
| #27 | Danbury | Connecticut | 1.359 ppm | 4.000 ppm | 34.0% | Within Limit | 90,841 |
| #28 | Leavenworth | Kansas | 1.359 ppm | 4.000 ppm | 34.0% | Within Limit | 38,532 |
| #29 | Makakilo | Hawaii | 1.348 ppm | 4.000 ppm | 33.7% | Within Limit | 13,466 |
| #30 | Tampa | Florida | 1.349 ppm | 4.000 ppm | 33.7% | Within Limit | 388,544 |
| #31 | Jacksonville | Florida | 1.342 ppm | 4.000 ppm | 33.5% | Within Limit | 952,495 |
| #32 | Parker | Colorado | 1.338 ppm | 4.000 ppm | 33.4% | Within Limit | 56,485 |
| #33 | Cabot | Arkansas | 1.330 ppm | 4.000 ppm | 33.2% | Within Limit | 24,877 |
| #34 | Melbourne | Florida | 1.324 ppm | 4.000 ppm | 33.1% | Within Limit | 88,368 |
| #35 | North Miami | Florida | 1.324 ppm | 4.000 ppm | 33.1% | Within Limit | 65,145 |
| #36 | Watsonville | California | 1.302 ppm | 4.000 ppm | 32.6% | Within Limit | 49,989 |
| #37 | Peachtree Corners | Georgia | 1.301 ppm | 4.000 ppm | 32.5% | Within Limit | 42,595 |
| #38 | Enfield | Connecticut | 1.296 ppm | 4.000 ppm | 32.4% | Within Limit | 38,265 |
| #39 | Mount Prospect | Illinois | 1.296 ppm | 4.000 ppm | 32.4% | Within Limit | 57,546 |
| #40 | Hagerstown | Maryland | 1.291 ppm | 4.000 ppm | 32.3% | Within Limit | 42,034 |
| #41 | Augusta | Georgia | 1.288 ppm | 4.000 ppm | 32.2% | Within Limit | 197,376 |
| #42 | Evansville | Indiana | 1.287 ppm | 4.000 ppm | 32.2% | Within Limit | 118,111 |
| #43 | Little Rock | Arkansas | 1.282 ppm | 4.000 ppm | 32.0% | Within Limit | 206,807 |
| #44 | Largo | Florida | 1.277 ppm | 4.000 ppm | 31.9% | Within Limit | 80,565 |
| #45 | Springfield | Massachusetts | 1.277 ppm | 4.000 ppm | 31.9% | Within Limit | 157,134 |
| #46 | Newton | Massachusetts | 1.268 ppm | 4.000 ppm | 31.7% | Within Limit | 83,751 |
| #47 | Scottsdale | Arizona | 1.265 ppm | 4.000 ppm | 31.6% | Within Limit | 244,541 |
| #48 | Peachtree City | Georgia | 1.265 ppm | 4.000 ppm | 31.6% | Within Limit | 38,802 |
| #49 | Seaford | Delaware | 1.260 ppm | 4.000 ppm | 31.5% | Within Limit | 10,965 |
| #50 | San Marcos | California | 1.254 ppm | 4.000 ppm | 31.4% | Within Limit | 100,051 |
| #51 | Westminster | Colorado | 1.254 ppm | 4.000 ppm | 31.3% | Within Limit | 116,011 |
| #52 | Blackfoot | Idaho | 1.235 ppm | 4.000 ppm | 30.9% | Within Limit | 10,311 |
| #53 | Ammon | Idaho | 1.228 ppm | 4.000 ppm | 30.7% | Within Limit | 22,275 |
| #54 | Madera | California | 1.226 ppm | 4.000 ppm | 30.6% | Within Limit | 62,967 |
| #55 | Lynn | Massachusetts | 1.215 ppm | 4.000 ppm | 30.4% | Within Limit | 99,997 |
| #56 | Miramar | Florida | 1.212 ppm | 4.000 ppm | 30.3% | Within Limit | 136,668 |
| #57 | DeKalb | Illinois | 1.213 ppm | 4.000 ppm | 30.3% | Within Limit | 46,012 |
| #58 | Santa Clara | California | 1.212 ppm | 4.000 ppm | 30.3% | Within Limit | 125,268 |
| #59 | Meridian | Idaho | 1.203 ppm | 4.000 ppm | 30.1% | Within Limit | 122,493 |
| #60 | El Mirage | Arizona | 1.205 ppm | 4.000 ppm | 30.1% | Within Limit | 32,910 |
| #61 | Prescott Valley | Arizona | 1.196 ppm | 4.000 ppm | 29.9% | Within Limit | 44,368 |
| #62 | Sugar Hill | Georgia | 1.183 ppm | 4.000 ppm | 29.6% | Within Limit | 29,449 |
| #63 | Cedar Rapids | Iowa | 1.180 ppm | 4.000 ppm | 29.5% | Within Limit | 137,324 |
| #64 | Sarasota | Florida | 1.173 ppm | 4.000 ppm | 29.3% | Within Limit | 58,717 |
| #65 | Norwood | Massachusetts | 1.169 ppm | 4.000 ppm | 29.2% | Within Limit | 35,779 |
| #66 | Algonquin | Illinois | 1.166 ppm | 4.000 ppm | 29.2% | Within Limit | 32,182 |
| #67 | Paradise Valley | Arizona | 1.169 ppm | 4.000 ppm | 29.2% | Within Limit | 17,473 |
| #68 | Lake Charles | Louisiana | 1.169 ppm | 4.000 ppm | 29.2% | Within Limit | 89,012 |
| #69 | Plainfield | Illinois | 1.159 ppm | 4.000 ppm | 29.0% | Within Limit | 41,841 |
| #70 | Palm Bay | Florida | 1.158 ppm | 4.000 ppm | 28.9% | Within Limit | 124,351 |
| #71 | Moreno Valley | California | 1.150 ppm | 4.000 ppm | 28.7% | Within Limit | 204,716 |
| #72 | Shawnee | Kansas | 1.149 ppm | 4.000 ppm | 28.7% | Within Limit | 64,430 |
| #73 | San Bernardino | California | 1.146 ppm | 4.000 ppm | 28.6% | Within Limit | 221,094 |
| #74 | Hanover Park | Illinois | 1.137 ppm | 4.000 ppm | 28.4% | Within Limit | 41,216 |
| #75 | Thibodaux | Louisiana | 1.126 ppm | 4.000 ppm | 28.2% | Within Limit | 19,121 |
| #76 | Dalton | Georgia | 1.129 ppm | 4.000 ppm | 28.2% | Within Limit | 33,119 |
| #77 | South Portland | Maine | 1.116 ppm | 4.000 ppm | 27.9% | Within Limit | 24,490 |
| #78 | Encinitas | California | 1.113 ppm | 4.000 ppm | 27.8% | Within Limit | 66,157 |
| #79 | Santa Ana | California | 1.105 ppm | 4.000 ppm | 27.6% | Within Limit | 310,209 |
| #80 | Elsmere | Delaware | 1.099 ppm | 4.000 ppm | 27.5% | Within Limit | 4,929 |
| #81 | Rocklin | California | 1.099 ppm | 4.000 ppm | 27.5% | Within Limit | 67,305 |
| #82 | Lenexa | Kansas | 1.099 ppm | 4.000 ppm | 27.5% | Within Limit | 56,572 |
| #83 | Dubuque | Iowa | 1.096 ppm | 4.000 ppm | 27.4% | Within Limit | 54,872 |
| #84 | Emporia | Kansas | 1.091 ppm | 4.000 ppm | 27.3% | Within Limit | 26,614 |
| #85 | Hobart | Indiana | 1.093 ppm | 4.000 ppm | 27.3% | Within Limit | 31,432 |
| #86 | Manteca | California | 1.092 ppm | 4.000 ppm | 27.3% | Within Limit | 82,653 |
| #87 | Orange | California | 1.091 ppm | 4.000 ppm | 27.3% | Within Limit | 135,695 |
| #88 | Topeka | Kansas | 1.090 ppm | 4.000 ppm | 27.3% | Within Limit | 123,414 |
| #89 | Severna Park | Maryland | 1.089 ppm | 4.000 ppm | 27.2% | Within Limit | 41,404 |
| #90 | Minneola | Florida | 1.088 ppm | 4.000 ppm | 27.2% | Within Limit | 19,034 |
| #91 | Naples | Florida | 1.089 ppm | 4.000 ppm | 27.2% | Within Limit | 22,275 |
| #92 | East Hartford | Connecticut | 1.089 ppm | 4.000 ppm | 27.2% | Within Limit | 45,918 |
| #93 | Ormond Beach | Florida | 1.083 ppm | 4.000 ppm | 27.1% | Within Limit | 46,974 |
| #94 | Sulphur | Louisiana | 1.082 ppm | 4.000 ppm | 27.1% | Within Limit | 15,987 |
| #95 | Stratford | Connecticut | 1.082 ppm | 4.000 ppm | 27.0% | Within Limit | 56,925 |
| #96 | Salem | Massachusetts | 1.079 ppm | 4.000 ppm | 27.0% | Within Limit | 47,782 |
| #97 | Honolulu | Hawaii | 1.081 ppm | 4.000 ppm | 27.0% | Within Limit | 343,284 |
| #98 | Fort Dodge | Iowa | 1.080 ppm | 4.000 ppm | 27.0% | Within Limit | 21,031 |
| #99 | Alameda | California | 1.082 ppm | 4.000 ppm | 27.0% | Within Limit | 84,394 |
| #100 | Zachary | Louisiana | 1.077 ppm | 4.000 ppm | 26.9% | Within Limit | 16,128 |
Most effective home option for fluoride removal.
Specialized media for fluoride. Point-of-use systems.
Natural option for fluoride reduction.
Water fluoridation at 0.7 mg/L is added to prevent tooth decay. The EPA limit of 4 mg/L protects against bone disease from natural or industrial contamination.
No. Standard activated carbon does not remove fluoride. You need reverse osmosis or activated alumina.
CDC recommends fluoridation at 0.7 mg/L as safe and beneficial. Concerns arise only at levels approaching EPA limit of 4 mg/L.