Repro:
SyntaxGenerator generator = SyntaxGenerator.GetGenerator(document);
var method = generator.MethodDeclaration("Test");
method = generator.AsPublicInterfaceImplementation(method, generator.IdentifierName("IDisposable"));
var acc = generator.GetAccessibility(method);
In VB, the method gets the Implements clause but is not made public. In C#, the method is made public.