Cleaning is not a word I would use. They do filter feed, but that's a blanket statement, they might remove some organics, but when they get big clams are huge consumers of minerals, resulting in the need to dose additional Ca Mg, and trace, or do more water changes.
In the wild they would filter phytoplankton but that's not present in our aquariums, unless you dose it, then you are adding a large amount of organics to the water,and the clams only eat a small percentage of the dose, especially if there is a skimmer or reacter in use.
They also create waste.
So in a nut shell, yes they add to your bioload.