Our profession is concerned with the increasing trend of unethical business practices that include fee splitting, rebates, and payments for patient referrals.  The primary goal of Virginia Dental Association dentists is to deliver quality dental care to our patients in a safe and ethical manner.  We feel that treatment decisions may be negatively impacted by these monetary incentives.  The VDA has taken an active role in addressing this activity and encourages the Board of Dentistry to support regulation that will discourage this behavior.