Meet Our Team

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

Keith Koch, DDS

Dr. Keith Koch has worked hard to foster a reputation as one of the finest, most trusted orthodontsist in not only Geneseo, but all of Western New York. 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.

Tamara Behr – Receptionist

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

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

Education/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; in the process of earning 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!


Natalie Waters – Orthodontic Treatment Coordinator

Natalie loves creating a fun and exciting environment for every patient that walks through the door. Watching the patient’s confidence grow and their smiles get bigger throughout treatment is one of her favorite things to watch in her position.

Natalie loves spending time with her family. She especially loves spending time on her fiancé’s family farm, hunting, kickboxing, fishing, hiking and playing with her pupper (Golden Retriever) Buck.