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VVOS vs DBVT vs ALGN vs ALKS vs XRAY

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
VVOS
Vivos Therapeutics, Inc.

Medical - Devices

HealthcareNASDAQ • US
Market Cap$5M
5Y Perf.-99.6%
DBVT
DBV Technologies S.A.

Biotechnology

HealthcareNASDAQ • FR
Market Cap$1712.35T
5Y Perf.-24.7%
ALGN
Align Technology, Inc.

Medical - Devices

HealthcareNASDAQ • US
Market Cap$12.06B
5Y Perf.-68.4%
ALKS
Alkermes plc

Biotechnology

HealthcareNASDAQ • IE
Market Cap$5.90B
5Y Perf.+75.4%
XRAY
DENTSPLY SIRONA Inc.

Medical - Instruments & Supplies

HealthcareNASDAQ • US
Market Cap$2.20B
5Y Perf.-79.0%

VVOS vs DBVT vs ALGN vs ALKS vs XRAY — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
VVOS logoVVOS
DBVT logoDBVT
ALGN logoALGN
ALKS logoALKS
XRAY logoXRAY
IndustryMedical - DevicesBiotechnologyMedical - DevicesBiotechnologyMedical - Instruments & Supplies
Market Cap$5M$1712.35T$12.06B$5.90B$2.20B
Revenue (TTM)$17M$0.00$4.10B$1.56B$3.68B
Net Income (TTM)$-17M$-168M$430M$153M$-628M
Gross Margin55.7%67.7%65.4%48.9%
Operating Margin-91.0%14.4%12.3%4.1%
Forward P/E14.8x24.8x7.7x
Total Debt$2M$22M$114M$70M$2.47B
Cash & Equiv.$6M$194M$1.08B$1.12B$326M

VVOS vs DBVT vs ALGN vs ALKS vs XRAYLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

VVOS
DBVT
ALGN
ALKS
XRAY
StockDec 20May 26Return
Vivos Therapeutics,… (VVOS)1000.4-99.6%
DBV Technologies S.… (DBVT)10075.3-24.7%
Align Technology, I… (ALGN)10031.6-68.4%
Alkermes plc (ALKS)100175.4+75.4%
DENTSPLY SIRONA Inc. (XRAY)10021.0-79.0%

Price return only. Dividends and distributions are not included.

Quick Verdict: VVOS vs DBVT vs ALGN vs ALKS vs XRAY

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: VVOS and ALGN are tied at the top with 2 categories each (5-stock set) — the right choice depends on your priorities. Align Technology, Inc. is the stronger pick specifically for profitability and margin quality and operational efficiency and capital deployment. XRAY and DBVT also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
VVOS
Vivos Therapeutics, Inc.
The Growth Play

VVOS has the current edge in this matchup, primarily because of its strength in growth exposure.

  • Rev growth 8.9%, EPS growth 80.1%, 3Y rev CAGR -3.8%
  • 8.9% revenue growth vs DBVT's -100.0%
  • Beta 0.74 vs XRAY's 1.78, lower leverage
Best for: growth exposure
DBVT
DBV Technologies S.A.
The Income Pick

DBVT is the clearest fit if your priority is income & stability.

  • Dividend streak 0 yrs, beta 1.26
  • +110.4% vs VVOS's -75.7%
Best for: income & stability
ALGN
Align Technology, Inc.
The Quality Compounder

ALGN is the #2 pick in this set and the best alternative if quality and efficiency is your priority.

  • 10.5% margin vs VVOS's -98.8%
  • 6.9% ROA vs DBVT's -89.0%
Best for: quality and efficiency
ALKS
Alkermes plc
The Long-Run Compounder

ALKS is the clearest fit if your priority is long-term compounding and sleep-well-at-night.

  • -11.0% 10Y total return vs ALGN's 122.8%
  • Lower volatility, beta 1.06, Low D/E 3.8%, current ratio 3.55x
  • Beta 1.06, current ratio 3.55x
Best for: long-term compounding and sleep-well-at-night
XRAY
DENTSPLY SIRONA Inc.
The Value Play

XRAY ranks third and is worth considering specifically for value and dividends.

  • Lower P/E (7.7x vs 14.8x)
  • 5.9% yield; 23-year raise streak; the other 4 pay no meaningful dividend
Best for: value and dividends
See the full category breakdown
CategoryWinnerWhy
GrowthVVOS logoVVOS8.9% revenue growth vs DBVT's -100.0%
ValueXRAY logoXRAYLower P/E (7.7x vs 14.8x)
Quality / MarginsALGN logoALGN10.5% margin vs VVOS's -98.8%
Stability / SafetyVVOS logoVVOSBeta 0.74 vs XRAY's 1.78, lower leverage
DividendsXRAY logoXRAY5.9% yield; 23-year raise streak; the other 4 pay no meaningful dividend
Momentum (1Y)DBVT logoDBVT+110.4% vs VVOS's -75.7%
Efficiency (ROA)ALGN logoALGN6.9% ROA vs DBVT's -89.0%

VVOS vs DBVT vs ALGN vs ALKS vs XRAY — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

VVOSVivos Therapeutics, Inc.
FY 2024
Product
30.4%$8M
Service
27.6%$7M
Appliances
21.6%$6M
VIP
9.6%$2M
Sponsorship Seminar Other
7.5%$2M
Billing Intelligence Services
3.2%$840,000
DBVTDBV Technologies S.A.

Segment breakdown not available.

ALGNAlign Technology, Inc.
FY 2025
Clear Aligner
80.4%$3.2B
Scanners And Services
19.6%$790M
ALKSAlkermes plc
FY 2025
Vivitrol
39.8%$468M
Aristada And Aristada Initio
31.5%$370M
Manufactured Product And Royalty
24.8%$291M
Manufacturing Revenue
3.9%$46M
XRAYDENTSPLY SIRONA Inc.
FY 2022
Technologies And Equipment
59.1%$2.3B
Consumables Segment
40.9%$1.6B

VVOS vs DBVT vs ALGN vs ALKS vs XRAY — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLALGNLAGGINGALKS

Income & Cash Flow (Last 12 Months)

ALGN leads this category, winning 3 of 6 comparable metrics.

ALGN and DBVT operate at a comparable scale, with $4.1B and $0 in trailing revenue. ALGN is the more profitable business, keeping 10.5% of every revenue dollar as net income compared to VVOS's -98.8%. On growth, VVOS holds the edge at +75.7% YoY revenue growth, suggesting stronger near-term business momentum.

MetricVVOS logoVVOSVivos Therapeutic…DBVT logoDBVTDBV Technologies …ALGN logoALGNAlign Technology,…ALKS logoALKSAlkermes plcXRAY logoXRAYDENTSPLY SIRONA I…
RevenueTrailing 12 months$17M$0$4.1B$1.6B$3.7B
EBITDAEarnings before interest/tax-$15M-$112M$790M$212M$424M
Net IncomeAfter-tax profit-$17M-$168M$430M$153M-$628M
Free Cash FlowCash after capex-$14M-$151M$717M$392M$104M
Gross MarginGross profit ÷ Revenue+55.7%+67.7%+65.4%+48.9%
Operating MarginEBIT ÷ Revenue-91.0%+14.4%+12.3%+4.1%
Net MarginNet income ÷ Revenue-98.8%+10.5%+9.8%-17.1%
FCF MarginFCF ÷ Revenue-83.4%+17.5%+25.1%+2.8%
Rev. Growth (YoY)Latest quarter vs prior year+75.7%+6.2%+28.2%+0.1%
EPS Growth (YoY)Latest quarter vs prior year-22.5%+91.5%+23.6%-4.1%-150.0%
ALGN leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

XRAY leads this category, winning 3 of 6 comparable metrics.

At 24.8x trailing earnings, ALKS trades at a 17% valuation discount to ALGN's 29.8x P/E. On an enterprise value basis, XRAY's 7.2x EV/EBITDA is more attractive than ALKS's 17.3x.

MetricVVOS logoVVOSVivos Therapeutic…DBVT logoDBVTDBV Technologies …ALGN logoALGNAlign Technology,…ALKS logoALKSAlkermes plcXRAY logoXRAYDENTSPLY SIRONA I…
Market CapShares × price$5M$1712.35T$12.1B$5.9B$2.2B
Enterprise ValueMkt cap + debt − cash$737,900$1712.35T$11.1B$4.9B$4.3B
Trailing P/EPrice ÷ TTM EPS-0.30x-0.76x29.80x24.76x-3.65x
Forward P/EPrice ÷ next-FY EPS est.14.84x7.75x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple13.92x17.25x7.18x
Price / SalesMarket cap ÷ Revenue0.36x2.99x4.00x0.60x
Price / BookPrice ÷ Book value/share0.42x0.66x3.02x3.28x1.63x
Price / FCFMarket cap ÷ FCF24.57x12.28x21.11x
XRAY leads this category, winning 3 of 6 comparable metrics.

Profitability & Efficiency

ALGN leads this category, winning 6 of 9 comparable metrics.

ALGN delivers a 10.7% return on equity — every $100 of shareholder capital generates $11 in annual profit, vs $-7 for VVOS. ALGN carries lower financial leverage with a 0.03x debt-to-equity ratio, signaling a more conservative balance sheet compared to XRAY's 1.84x. On the Piotroski fundamental quality scale (0–9), ALGN scores 7/9 vs DBVT's 4/9, reflecting strong financial health.

MetricVVOS logoVVOSVivos Therapeutic…DBVT logoDBVTDBV Technologies …ALGN logoALGNAlign Technology,…ALKS logoALKSAlkermes plcXRAY logoXRAYDENTSPLY SIRONA I…
ROE (TTM)Return on equity-6.8%-130.2%+10.7%+8.8%-41.2%
ROA (TTM)Return on assets-66.7%-89.0%+6.9%+5.4%-11.2%
ROICReturn on invested capital-4.2%+15.4%+18.9%+5.1%
ROCEReturn on capital employed-162.5%-145.7%+14.5%+14.2%+6.1%
Piotroski ScoreFundamental quality 0–944776
Debt / EquityFinancial leverage0.19x0.13x0.03x0.04x1.84x
Net DebtTotal debt minus cash-$5M-$172M-$965M-$1.0B$2.1B
Cash & Equiv.Liquid assets$6M$194M$1.1B$1.1B$326M
Total DebtShort + long-term debt$2M$22M$114M$70M$2.5B
Interest CoverageEBIT ÷ Interest expense-189.82x389.13x32.30x-5.12x
ALGN leads this category, winning 6 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

DBVT leads this category, winning 3 of 6 comparable metrics.

A $10,000 investment in ALKS five years ago would be worth $16,091 today (with dividends reinvested), compared to $39 for VVOS. Over the past 12 months, DBVT leads with a +110.4% total return vs VVOS's -75.7%. The 3-year compound annual growth rate (CAGR) favors DBVT at 6.2% vs VVOS's -56.9% — a key indicator of consistent wealth creation.

MetricVVOS logoVVOSVivos Therapeutic…DBVT logoDBVTDBV Technologies …ALGN logoALGNAlign Technology,…ALKS logoALKSAlkermes plcXRAY logoXRAYDENTSPLY SIRONA I…
YTD ReturnYear-to-date-73.8%+4.9%+7.9%+25.3%-2.8%
1-Year ReturnPast 12 months-75.7%+110.4%-2.2%+16.5%-16.4%
3-Year ReturnCumulative with dividends-92.0%+19.7%-45.0%+14.5%-69.4%
5-Year ReturnCumulative with dividends-99.6%-69.1%-71.9%+60.9%-80.1%
10-Year ReturnCumulative with dividends-99.7%-87.0%+122.8%-11.0%-74.5%
CAGR (3Y)Annualised 3-year return-56.9%+6.2%-18.1%+4.6%-32.6%
DBVT leads this category, winning 3 of 6 comparable metrics.

Risk & Volatility

Evenly matched — VVOS and ALKS each lead in 1 of 2 comparable metrics.

VVOS is the less volatile stock with a 0.74 beta — it tends to amplify market swings less than XRAY's 1.78 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. ALKS currently trades 96.7% from its 52-week high vs VVOS's 8.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricVVOS logoVVOSVivos Therapeutic…DBVT logoDBVTDBV Technologies …ALGN logoALGNAlign Technology,…ALKS logoALKSAlkermes plcXRAY logoXRAYDENTSPLY SIRONA I…
Beta (5Y)Sensitivity to S&P 5000.72x1.26x1.65x1.00x1.70x
52-Week HighHighest price in past year$7.95$26.18$208.31$36.60$17.18
52-Week LowLowest price in past year$0.65$7.53$122.00$25.17$9.85
% of 52W HighCurrent price vs 52-week peak+8.3%+76.3%+80.8%+96.7%+63.8%
RSI (14)Momentum oscillator 0–10030.448.144.660.239.2
Avg Volume (50D)Average daily shares traded230K252K1.1M2.3M4.2M
Evenly matched — VVOS and ALKS each lead in 1 of 2 comparable metrics.

Analyst Outlook

XRAY leads this category, winning 1 of 1 comparable metric.

Analyst consensus: DBVT as "Buy", ALGN as "Buy", ALKS as "Buy", XRAY as "Hold". Consensus price targets imply 131.8% upside for DBVT (target: $46) vs 20.9% for ALGN (target: $204). XRAY is the only dividend payer here at 5.86% yield — a key consideration for income-focused portfolios.

MetricVVOS logoVVOSVivos Therapeutic…DBVT logoDBVTDBV Technologies …ALGN logoALGNAlign Technology,…ALKS logoALKSAlkermes plcXRAY logoXRAYDENTSPLY SIRONA I…
Analyst RatingConsensus buy/hold/sellBuyBuyBuyHold
Price TargetConsensus 12-month target$46.33$203.60$46.00$13.75
# AnalystsCovering analysts15332831
Dividend YieldAnnual dividend ÷ price+5.9%
Dividend StreakConsecutive years of raises0023
Dividend / ShareAnnual DPS$0.64
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%+3.9%+0.5%0.0%
XRAY leads this category, winning 1 of 1 comparable metric.
Key Takeaway

ALGN leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). XRAY leads in 2 (Valuation Metrics, Analyst Outlook). 1 tied.

Best OverallAlign Technology, Inc. (ALGN)Leads 2 of 6 categories
Loading custom metrics...

VVOS vs DBVT vs ALGN vs ALKS vs XRAY: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is VVOS or DBVT or ALGN or ALKS or XRAY a better buy right now?

For growth investors, Vivos Therapeutics, Inc.

(VVOS) is the stronger pick with 8. 9% revenue growth year-over-year, versus -5. 2% for Alkermes plc (ALKS). Alkermes plc (ALKS) offers the better valuation at 24. 8x trailing P/E, making it the more compelling value choice. Analysts rate DBV Technologies S. A. (DBVT) a "Buy" — based on 15 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which has the better valuation — VVOS or DBVT or ALGN or ALKS or XRAY?

On trailing P/E, Alkermes plc (ALKS) is the cheapest at 24.

8x versus Align Technology, Inc. at 29. 8x. On forward P/E, DENTSPLY SIRONA Inc. is actually cheaper at 7. 7x — notably different from the trailing picture, reflecting expected earnings growth.

03

Which is the better long-term investment — VVOS or DBVT or ALGN or ALKS or XRAY?

Over the past 5 years, Alkermes plc (ALKS) delivered a total return of +60.

9%, compared to -99. 6% for Vivos Therapeutics, Inc. (VVOS). Over 10 years, the gap is even starker: ALGN returned +123. 3% versus VVOS's -99. 7%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — VVOS or DBVT or ALGN or ALKS or XRAY?

By beta (market sensitivity over 5 years), Vivos Therapeutics, Inc.

(VVOS) is the lower-risk stock at 0. 72β versus DENTSPLY SIRONA Inc. 's 1. 70β — meaning XRAY is approximately 135% more volatile than VVOS relative to the S&P 500. On balance sheet safety, Align Technology, Inc. (ALGN) carries a lower debt/equity ratio of 3% versus 184% for DENTSPLY SIRONA Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — VVOS or DBVT or ALGN or ALKS or XRAY?

By revenue growth (latest reported year), Vivos Therapeutics, Inc.

(VVOS) is pulling ahead at 8. 9% versus -5. 2% for Alkermes plc (ALKS). On earnings-per-share growth, the picture is similar: Vivos Therapeutics, Inc. grew EPS 80. 1% year-over-year, compared to -347. 5% for DBV Technologies S. A.. Over a 3-year CAGR, ALKS leads at 9. 9% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

06

Which has better profit margins — VVOS or DBVT or ALGN or ALKS or XRAY?

Alkermes plc (ALKS) is the more profitable company, earning 16.

4% net margin versus -74. 1% for Vivos Therapeutics, Inc. — meaning it keeps 16. 4% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ALKS leads at 17. 2% versus -74. 3% for VVOS. At the gross margin level — before operating expenses — ALKS leads at 86. 7%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

07

Is VVOS or DBVT or ALGN or ALKS or XRAY more undervalued right now?

On forward earnings alone, DENTSPLY SIRONA Inc.

(XRAY) trades at 7. 7x forward P/E versus 14. 8x for Align Technology, Inc. — 7. 1x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for DBVT: 131. 8% to $46. 33.

08

Which pays a better dividend — VVOS or DBVT or ALGN or ALKS or XRAY?

In this comparison, XRAY (5.

9% yield) pays a dividend. VVOS, DBVT, ALGN, ALKS do not pay a meaningful dividend and should not be held primarily for income.

09

Is VVOS or DBVT or ALGN or ALKS or XRAY better for a retirement portfolio?

For long-horizon retirement investors, Vivos Therapeutics, Inc.

(VVOS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 72)). Align Technology, Inc. (ALGN) carries a higher beta of 1. 65 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (VVOS: -99. 7%, ALGN: +123. 3%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

10

What are the main differences between VVOS and DBVT and ALGN and ALKS and XRAY?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

In terms of investment character: VVOS is a small-cap quality compounder stock; DBVT is a mega-cap quality compounder stock; ALGN is a mid-cap quality compounder stock; ALKS is a small-cap quality compounder stock; XRAY is a small-cap income-oriented stock. XRAY pays a dividend while VVOS, DBVT, ALGN, ALKS do not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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