Typical 6-stage PMTs have gain approaching 10^6, 11-stage tubes exceed 10^7. Yes, if you can stand the noise, the PD is better. Our big problem is removing the heat from the dynode voltage dividers in a vacuum chamber, when you have dozens of PMTs packed in one chamber.
But, to give you an idea of the gains, we use feedback resistors of
100 Meg to 4 G Ohm, and feedback capacitors of around 1 pF effective (0.5 pF component and 0.5 pF of board capacitance) in the charge-integrating preamp. That is for the scintillator-PD setup, a larger cap value and smaller gain are used with the direct detection scheme.Jon