He largely owns X which is a private entity. He owns ~20% of Tesla, and the rest is owned by other shareholders. As a company officer he has a fiduciary duty to act in the interests of all Tesla shareholders, and any sales or deals to other entities he has in an interest in pose a conflict. That conflict can often be mitigated by oversight or deferral of decision making to parties that don't hold the conflict such as other board members or corporate officers.
Twitter is Musk’s private plaything.
Tesla using Twitter services could be a conflict of interest because Musk is CEO of both and could be using his position at Tesla to funnel public shareholder money into Twitter, aka his pocket.
Theoretically it is a way to siphon funds from one company to the other if he forced one of his companies to take a raw deal from the other. If both sides got a fair deal, it’s probably not much to worry about though.