Dr. Rafael G. Balboa DMD
Dentist
He is located at 14527 Southwest 42nd Street in Miami, FL 33175. Can help patients with the following: Bleeding Gums, Dental Exam and Cleaning, Dentin Hypersensitivity, Gum Disease / Gingivitis, Pericoronitis, Teeth Whitening. His National Provider Identifier (NPI) number is 1497184097. Appointment can be made via the phone number (786) 488-2895. He is affiliated with 1 practices.
Conditions treated
Dr. Rafael G. Balboa, being an dentist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Rafael G. Balboa.
- Bleeding Gums
- Cosmetic Dentistry
- Dental Bridges
- Dental Crowns and Caps
- Dental Emergency
- Dental Exam and Cleaning
- Dental Implants
- Dental Malocclusion
- Dentin Hypersensitivity
- Dentures
- Gum Disease / Gingivitis
- Invisalign
- Laser
- Oral Cancer Examination
- Pericoronitis
- Teeth Grinding
- Teeth Whitening
- Veneers
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Rafael G. Balboa as in-network for the following 2026 plans.
Dental plans
BEST Life
Network data as of Sep 8, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| BEST Life Essential Basic Dental Plan | PPO · Low | In Network | Accepting new patients |
| BEST Life Essential Value Dental Plan | PPO · Low | In Network | Accepting new patients |
| BEST Life Preferred Dental | PPO · High | In Network | Accepting new patients |
| BEST Life Superior Dental | PPO · High | In Network | Accepting new patients |
Cigna Healthcare
Network data as of Sep 15, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Cigna Dental Family + Pediatric | PPO · Low | Preferred | Accepting new patients |
| Cigna Dental Pediatric | PPO · Low | Preferred | Accepting new patients |
Delta Dental
Network data as of Sep 12, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Delta Dental PPO Basic Plan for Families | PPO · Low | Delta Dental PPO | Accepting new patients |
| Delta Dental PPO Preferred Plan for Families | PPO · High | Delta Dental PPO | Accepting new patients |
| Delta Dental PPO Preventive Plan for Families | PPO · Low | Delta Dental PPO | Accepting new patients |
EMI Health
Network data as of Sep 16, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| EMI Health Advantage Co-Pay | PPO · Low | Preferred | Accepting new patients |
| EMI Health Advantage PPO | PPO · Low | Preferred | Accepting new patients |
| EMI Health Advantage PPO Low | PPO · Low | Preferred | Accepting new patients |
| EMI Health Premier PPO (High) | PPO · High | Preferred | Accepting new patients |
| EMI Health Premier PPO (Low) | PPO · Low | Preferred | Accepting new patients |
Humana
Network data as of Sep 13, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Humana Dental Smart Choice - High | PPO · High | Preferred | Accepting new patients |
| Humana Dental Smart Choice - Lite | PPO · Low | Preferred | Accepting new patients |
| Humana Dental Smart Choice - Low | PPO · Low | Preferred | Accepting new patients |
Renaissance Dental
Network data as of Sep 16, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Florida Preferred Plan | PPO · Low | Preferred | Accepting new patients |
| Florida Preferred Plan (Pediatric Only) | PPO · Low | Preferred | Accepting new patients |
| Florida Preferred Plus Plan | PPO · High | Preferred | Accepting new patients |
| Florida Preferred Plus Plan (Pediatric Only) | PPO · High | Preferred | Accepting new patients |
| Florida Wellness Essentials Plan | PPO · Low | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Rafael G. Balboa is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Rafael G. Balboa is enrolled to bill Medicare as a Order And Referring Only - Dentist (also registered under: Practitioner - Dentist) .
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Den-Mat Holdings | $250 |
| Henry Schein | $60 |
| Essential Dental Systems | $26 |
Other
| Food and Beverage | $349 |
| Other | $27 |
Looking for more Dentists?
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- Address: 13323 Southwest 42nd Street Miami, 33175, FL
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- Address: Suite 105 13920 Southwest 47th Street Miami, 33175, FL
- Gender: Female
- Address: Suite 209 13055 Southwest 42nd Street Miami, 33175, FL
Questions & Answers
Does Dr. Rafael G. Balboa accept insurance?
Dr. Rafael G. Balboa is listed in-network for 22 ACA Marketplace (Obamacare/HealthCare.gov) plans from BEST Life, Cigna Healthcare, Delta Dental, EMI Health, Humana, Renaissance Dental. See the Marketplace plans section for details.
Where can you meet with Dr. Rafael G. Balboa?
Dr. Rafael G. Balboa's office is located at 14527 Southwest 42nd Street in Miami, FL 33175.
What conditions does Dr. Rafael G. Balboa treat?
Dr. Rafael G. Balboa provides treatment for Bleeding Gums, Dental Exam and Cleaning, Dentin Hypersensitivity, Gum Disease / Gingivitis, Pericoronitis, Teeth Whitening. For the full list see this list.
Does Dr. Rafael G. Balboa have affiliation with practices?
Dr. Rafael G. Balboa is affiliated with Balboa & Associates Dental Group.