Fee-splitting, rebates or commissions to a third-party for dental services are considered unethical actions for dentist members of the American Dental Association. This has been the case for very long time. The reason this is not a good practice and not in the best interest of patients is it creates incentives for the dentist to provide unnessecary treatment to patients who are referred through third parties. The emergence of marketing services that sell dental services online to patients in return for splitting the fees with the dentist has made this a much more common problem than in the past. Passing this regulation will be in the best interest of patients.