See Adjustments.
Sales tax can be manually or automatically applied to completed procedures. Sales tax can display as an adjustment or a procedure in the Account Module.

Set up Requirements
Before using the sales tax feature, determine if adjustments or procedures are preferred. Only one sales tax method is recommended for easier reporting.
Using Adjustments: If automating sales tax, using adjustments is required. This method is beneficial because adjustments are easily identified on the patient account.
- Create a positive sales tax adjustment type in Definitions: Adj Types.
- Set the adjustment type, tax percentage, default provider, and automation in Preferences.
- If Automate Sales Tax is enabled, set which procedures are taxed in each Procedure Code.
Using Procedures: This method is beneficial to only add one line item for sales tax, regardless of the number of procedures selected.
- Set the tax percentage in Preferences.
- Ensure the Sales Tax procedure code (typically D9985) is entered in Preferences.
About Sales Tax
- If the sales tax provider is different than the procedures' provider, the sales tax adjustment shows as a separate charge in the Payment window, Outstanding Charges grid, even though the adjustment is attached to the procedure.
- If the procedure fee changes, delete the sales tax adjustment and re-complete the procedure or manually edit the adjustment amount.
- Enable Auto Tax on a Procedure Code and enable the preference, Automate Sales Tax, to post sales tax automatically.
- Sales tax must be added manually to completed Repeating Charge procedures and procedures attached to an Ortho Case.
- Sales tax adjustments may be manually added to procedures that already have sales tax applied. Verify the procedure is not already taxed before applying.
- Procedures being billed to PPO Percentage or PPO Fixed Benefit insurance plan types: sales tax amount is calculated based on the billed fee less any estimated write-off (i.e., insurance fee).
Manual Sales Tax
Using Adjustments:
In the Account Module, highlight one or more completed procedures. In the toolbar, click the Adjustment dropdown, then Apply Sales Tax.

A sales tax adjustment is immediately created and attached to each procedure.
Using Procedure Codes:
In the Account Module, highlight one or more completed procedures. In the toolbar, click the Add Proc dropdown, then click Sales Tax.

One sales tax procedure is immediately added using the sum of the selected procedures.
Automate Sales Tax
A sales tax adjustment is automatically added to a patient's account when a procedure is set complete. The adjustment is directly attached to the procedure.
Ensure procedures are marked as taxable in the Procedure Code window.
Taxable procedures display on the Treatment Plan. There are two options:
- Display tax amount on the procedure description. This happens automatically if the Tax Est column has not been added to the treatment plan. The taxable amount calculates into the patient portion.
- Display tax amount in a separate column. Add the Tax Est column in Display Fields.