Meet Our Team

At Koch Orthodontics, our whole team is committed to providing you with the best treatment possible in a warm, caring environment. Every staff member puts emphasis on your comfort and ensures every stage of your treatment is a pleasurable experience – with a healthy, fantastic smile as the end result.

Keith Koch, DDS, PC

Dr. Keith Koch has worked hard to foster a reputation as one of the finest, most trusted orthodontists in not only Geneseo, but all the surrounding counties.

He is a graduate of Canisus College in Buffalo, NY, and attended dental school at SUNY at Buffalo School of Dental Medicine.

Read Dr. Koch’s full bio here.

Ryan Koch, DDS, MS

Proud to follow in his father’s footsteps, Ryan Koch is a graduate of SUNY at Buffalo School of Dental Medicine (2020). He holds a Specialty Certificate in Orthodontics and a MS degree from the University at Buffalo School of Dental Medicine.

Read Dr. Ryan’s full bio here.

Tamara Behr – Secretary/Receptionist

Certifications: CPR Certified

Tamara loves her job and it shows! Professional and friendly, her true caring for every patient (and parent) shines through. She does her best every day to provide service with a smile!

Tamara has a great love of nature and all creatures big and small. Don’t swat that spider or fly! She’ll be right over with her net to set them free. Whether working on her home, rescuing cats, or hiking in the woods, you can bet she is enjoying being outdoors!

Carol Kostraba – Certified Dental Assistant

Certifications: CPR Certified

Carol began her career in 1987 as a Certified Dental Assistant after graduating from Continental Dental Assisting School of Rochester. From there she completed her clinical studies at Eastman Dental at the U of R. She worked in general dentistry before accepting a position in orthodontics with Dr. Bill Anderson in 1989. Orthodontics has been her passion ever since! Carol is CPR-certified.

Carol loves creating beautiful and confident smiles alongside Dr. Koch and our Amazing Team! Our patients are like family to us as we have seen and treated many generations.

When Carol is not making happy smiles in the office, she enjoys gardening, traveling, cooking and spending time with family and friends. “Smile Always!”

Erinne Carrion – Orthodontic Dental Assistant

Certifications: CPR Certified

Erinne finds comfort in knowing her patients are getting the best care and a smile that will last a lifetime. She chose this career path following in her sister’s footsteps and found her passion for dental assisting. She loves watching the confidence shift in her patients when they achieve the smile they’ve always wanted.

Erinne is a United States Marine. In her spare time, she enjoys reading books, hiking, camping, horseback riding, and many outdoor activities. She also loves spending as much time as possible with her friends and family. Her favorite food is chicken and broccoli alfredo and she has a cat named Meika.


Alyssa Balbick – Orthodontic Dental Assistant

Education/Certifications: CPR Certified, pursuing Dental Hygienist
Degree at Monroe Community College

Alyssa has a passion for helping others. She loves watching her patients’ reactions when they get their braces removed and creating a safe and positive environment for them.

In her spare time, Alyssa loves playing the piano, going for runs, and walking her dog named Maggie, a rescue from Russia!


Emily Cuthbertson – Orthodontic Treatment Coordinator

Certifications: CPR Certified

Emily loves working with all the patients! She enjoys sharing the excitement – from helping choose the first colors, and all along the way, right up to the braces removal Big Day.

Emily not only works hard at the office, she is a busy mom of two wonderful children. She is always ready to lend a hand, give an encouraging word, make a joke, or sing a song. She keeps us smiling all day long!

Courtney Earley – Orthodontic Dental Assistant

Courtney enjoys working in orthodontics and this expansion of her dental career. Her favorite part of the day is seeing how excited patients (both kids and adults) are when their braces come off. Love those happy smiles!

Courtney enjoys family time with her two kids and a dog. They love Disney! Courtney’s favorite character is Elsa, her son’s is Simba, her daughter’s is Cinderella, and her dog would like to chase the Aristocats!